NPIMap

Individual provider Active NPI

Spencer Dennis Wolf, M.D.

  • Family Medicine Physician
  • Kettering, OH
National Provider Identifier
1700179744
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.122199 Issued in OH
Practice address
1525 E Stroop Rd
Suite 200
Kettering, OH 45429-5065
Phone
(937) 208-7400
Fax
(937) 208-7405
NPI assigned
May 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.122199 OH Primary

Addresses

Primary practice location

1525 E Stroop Rd
Suite 200
Kettering, OH 45429-5065

Mailing address

1525 E Stroop Rd
Suite 200
Kettering, OH 45429-5065
Phone (937) 208-7400

Other identifiers 1

IdentifierTypeStateIssuer
0092156MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028001812 OH Practitioner - Family Practice 9234364290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

1525 E Stroop Rd
Suite 200
Dayton, OH 45429-5065
Phone (937) 341-7400

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Jul 14, 2014 Accepting new patients
Samaritan Family Care Inc Family Medicine CurrentSince May 1, 2014 Accepting new patients
Mvhe Inc Family Medicine CurrentSince Jul 14, 2014 Accepting new patients
Samaritan Family Care Inc Family Medicine CurrentSince May 1, 2014 Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

1525 E Stroop Rd
Ste 200
Kettering, OH 45429
Phone (937) 208-7400

Organizations & group practices 5

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 6

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1700179744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E STROOP RD",
            "address_2": "SUITE 200",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295065",
            "telephone_number": "937-208-7400",
            "fax_number": "937-208-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E STROOP RD",
            "address_2": "SUITE 200",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295065",
            "telephone_number": "937-208-7400",
            "fax_number": "937-208-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SPENCER",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.122199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.