Robert Wolf, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD20633 Issued in OR

Practice address

1073 Oak St SE
Salem, OR 97301-4018

Phone

(503) 561-5200

Fax

(503) 561-4704

NPI assigned

Apr 28, 2006

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Psychiatry

Education

Creighton University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marion CountyGroup PAC ID 8123928017, 19 clinicians

Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Marion County

  dba Marion County Health Department

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  Medicare reassignment Care Compare group NPD
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment Care Compare group NPD
• Salem Hospital

  • Psychiatry Physician
  • Salem, OR
  • NPI 1811061708
  NPD (past) Authorized official
• Marion County

  dba Marion County Health and Human Services

  • Methadone Clinic
  • Salem, OR
  • NPI 1386706919
  NPD
• Marion County

  dba Marion County Health and Human Services

  • State or Local Public Health Clinic/Center
  • Salem, OR
  • NPI 1760530638
  NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Firstcare Medical Foundation

  dba Samaritan Medical Clinics

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498

  Psychiatry

  NPD (past)
• Good Samaritan Hospital Corvallis

  dba Samaritan Gynecologic Oncology - Corvallis

  • Gynecologic Oncology Physician
  • Corvallis, OR
  • NPI 1710787916
  NPD (past)

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

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1598722936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 ABBEY WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973019564",
            "telephone_number": "503-365-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 OAK ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014018",
            "telephone_number": "503-561-5200",
            "fax_number": "503-561-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD20633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Harmony Witte, M.D.
• Travis Paul Woerner
• Deborah Elaina Marie Wofford Gonzalez
• Bethany Wohletz, M.D.
• Mesfin Woldegiorgis
• Sarah E Wolf, NP
• Kristina Wolfard, LCSW
• Nile Rachel Wolfe
• Shelbie Elise Wolfe, BA, QMHA
• Tyler Wolfe

• Psychiatry Physician in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.