Wolffallergyasthma PLLC

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

Legal business name

WOLFFALLERGYASTHMA PLLC

Doing business as

WolffAllergyAsthma

Practice address

3011 W Grand Blvd Ste 210
Detroit, MI 48202-3068

Phone

(313) 871-7572

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Garen Slay Wolff, MDNPI 1154855443

Title

Owner

Phone

(313) 871-7572

Specialties & licenses 1

Addresses

Other names 1

• WolffAllergyAsthma Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garen Wolff

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1154855443
  Medicare reassignment NPD Authorized official
• Mervin Gary Wolff, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1154411213
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1689333080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CANAL VIEW CIR APT G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462026139",
            "telephone_number": "313-871-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023068",
            "telephone_number": "313-871-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFFALLERGYASTHMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "GAREN",
        "authorized_official_middle_name": "SLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-871-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WolffAllergyAsthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Wolfe
• Derek Wolfe
• Sheila Anita Wolfe
• Garen Wolff
• Mervin Gary Wolff, M.D.
• Wolffinternalmedicine PLLC
• Maria Melody-Padiernos Wolfinbarger, NURSE PRACTITIONER
• Alisha M Wolfsen, LLMSW
• Wayne P. Wolfson, M.D.
• Ira S. Wollner, M.D.

• Allergy & Immunology (Internal Medicine) Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Allergy & Immunology (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.