Organization Active NPI

Sherry Lynn C Wolf MD PA

  • Internal Medicine Physician
  • Vernon, TX
National Provider Identifier
1720611320
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHERRY LYNN C WOLF MD PA
Practice address
1000 Garland Johnston Dr
Vernon, TX 76384-4097
Phone
(940) 552-9991
Fax
(940) 553-1358
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Sherry Lynn C. Wolf, MDNPI 1215980115
Title
Owner/Doctor
Phone
(940) 552-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1000 Garland Johnston Dr
Vernon, TX 76384-4097

Mailing address

1000 Garland Johnston Dr
Vernon, TX 76384-4097
Phone (940) 552-9991

National Provider Directory

National Provider Directory

Locations

4301 College Dr
Ste 800A
Vernon, TX 76384

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1720611320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GARLAND JOHNSTON DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844097",
            "telephone_number": "940-552-9991",
            "fax_number": "940-553-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GARLAND JOHNSTON DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844097",
            "telephone_number": "940-552-9991",
            "fax_number": "940-553-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY LYNN C WOLF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN C.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "940-552-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.