Douglas Dane Wolford, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5101011295 Issued in MI

Practice address

321 E Harris St
Charlotte, MI 48813-1629

Phone

(517) 543-1050

Fax

(517) 543-0875

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Anesthesiology

Education

West Virginia School of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia of Michigan II PCGroup PAC ID 7911895164, 22 clinicians

Radius Anesthesia of Michigan PLLCGroup PAC ID 0547545709, 6 clinicians

Celebrity Anesthesia Staffing LLCGroup PAC ID 3678987534, 26 clinicians

Ambulatory Anesthesia Associates PCGroup PAC ID 5092729020, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Ambulatory Anesthesia Associates, PC

  • Anesthesiology Physician
  • Monroe, MI
  • NPI 1952350555
  Medicare reassignment Care Compare group NPD
• Celebrity Anesthesia Staffing LLC

  dba Celebrity Anesthesia

  • Anesthesiology Physician
  • Grand Rapids, MI
  • NPI 1235728403
  Medicare reassignment Care Compare group NPD
• Radius Anesthesia of Michigan PLLC

  • Anesthesiology Physician
  • Saint Clair Shores, MI
  • NPI 1578002523
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Michigan II PC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1437268026

  MI

  Medicare reassignment Care Compare group NPD
• Resource Anesthesiology Associates of Mi PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1568755882
  Medicare reassignment NPD
• Northstar Anesthesia of Michigan III PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Irving, TX
  • NPI 1972126209

  MI

  Medicare reassignment NPD
• Michigan Pain Management Specialists PC

  • Clinical Psychologist
  • Lansing, MI
  • NPI 1215953815
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821180316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-1050",
            "fax_number": "517-543-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-1050",
            "fax_number": "517-543-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "DOUGLAS",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101011295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP FAMILY CARE",
            "identifier": "2070059",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DW011295",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S HEALTH PLAN",
            "identifier": "2000059",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Wilkinson, RN
• Karri Wills, PT
• Sally King Wilson, MD
• Holly Gene Wixon
• Jason J Wojnar
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08087)
• Kelsey Lynn Wright, PT, DPT
• Richard Wright
• Sara Young
• Kimberly Ann Youngs

• Anesthesiology Physician in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.