Active NPI
Mark R Wolz, MD
- Clinical Pathology/Laboratory Medicine Physician
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 10185
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703-4625 - Phone
- (775) 885-4327
- Fax
- (775) 884-0345
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 10185 | NV | Primary |
Addresses
Primary practice location
1600 Medical Pkwy
Carson City, NV 89703-4625
Mailing address
PO Box 21609
Carson City, NV 89721-1609
Phone (775) 884-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609946094 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Utah School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (916) 447-6267
Hospital & facility affiliations
- Carson Tahoe Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.18 of 100
- Quality
- 80.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10185 | NV | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology Medical Group, Inc. | Current | Accepting new patients | |
| Diagnostic Pathology Medical Group Inc | Past | Accepting new patients | |
| Diagnostic Pathology Medical Group Inc | Past | Accepting new patients | |
| Diagnostic Pathology Medical Group Inc | Past | Accepting new patients |
Locations
3301 C St
Ste 200E
Sacramento, CA 95816
Phone (916) 446-0424
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
6490 S McCarran Blvd
Bldg E
Reno, NV 89509
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Carson City, NV
- NPI 1417636093
-
- Anatomic Pathology & Clinical Pathology Physician
- Reno, NV
- NPI 1770064271
-
- Anatomic Pathology & Clinical Pathology Physician
- Sacramento, CA
- NPI 1235138868
-
- Anatomic Pathology & Clinical Pathology Physician
- Sacramento, CA
- NPI 1669034518
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1609946094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21609",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897211609",
"telephone_number": "775-884-2455",
"fax_number": "775-884-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL PKWY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034625",
"telephone_number": "775-885-4327",
"fax_number": "775-884-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLZ",
"first_name": "MARK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NV",
"license": "10185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609946094",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.