Individual provider Active NPI

Sean F Wolfort, M.D.

  • Plastic Surgery Physician
  • Tempe, AZ
National Provider Identifier
1477517712
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
51969 Issued in AZ
Practice address
5801 S McClintock Dr Ste 104
Tempe, AZ 85283-6002
Phone
(480) 802-8511
Fax
(480) 802-8129
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 51969 AZ Primary

Addresses

Primary practice location

5801 S McClintock Dr Ste 104
Tempe, AZ 85283-6002

Mailing address

5801 S McClintock Dr Ste 104
Tempe, AZ 85283-6002
Phone (480) 802-8511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728002645 AZ Practitioner - Plastic and Reconstructive Surgery 5294718565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Virginia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mulberry Medical LLCGroup PAC ID 2365954450, 30 clinicians

Practice addresses (Care Compare)

4425 E Agave Rd
Suite 150
Phoenix, AZ 85044-0623

5801 S McClintock Dr
Suite 104
Tempe, AZ 85283-6002
Phone (480) 802-8511

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51969AZMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobileonedocs, LLC CurrentSince Mar 24, 2025 Accepting new patients
Mulberry Medical LLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Mobileonedocs, LLC CurrentSince Mar 24, 2025 Accepting new patients
Aurora Medical Associates LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Tucson Dermatology LTD CurrentSince Jan 11, 2025 Accepting new patients
Plastic and Peripheral Nerve Surgery LLC CurrentSince Sep 1, 2019 Accepting new patients
Gregory H Pastrick PC Plastic Surgery Past Accepting new patients
Plastic Surgey Associates of Nashville PA Past Accepting new patients
Sean F. Wolfort Plastic Surgery PastSince Oct 1, 2013 Accepting new patients

Locations

1254 W University Ave
Ste 130
Flagstaff, AZ 86001
Phone (800) 407-1744

4425 E Agave Rd
Ste 150
Phoenix, AZ 85044
Phone (480) 719-3749

10115 E Bell Rd
Ste 107234
Scottsdale, AZ 85260
Phone (480) 843-9877

25229 S Sun Lakes Blvd
Ste 101
Sun Lakes, AZ 85248
Phone (480) 802-8511

5801 S McClintock Dr
Ste 104
Tempe, AZ 85283
Phone (623) 220-2601

6565 E Carondelet Dr
Ste 145
Tucson, AZ 85710
Phone (520) 886-4199

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1477517712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S MCCLINTOCK DR STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852836002",
            "telephone_number": "480-802-8511",
            "fax_number": "480-802-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S MCCLINTOCK DR STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852836002",
            "telephone_number": "480-802-8511",
            "fax_number": "480-802-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFORT",
        "first_name": "SEAN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "51969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.