Mark J Wolf, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME21062 Issued in FL

Practice address

103 E 23Rd St
Panama City, FL 32405-4501

Phone

(850) 769-0338

Fax

(850) 785-6088

NPI assigned

Oct 24, 2006

Last updated

Jul 21, 2011By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4

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.

• Emerald Coast OBGYN, Inc

  • Obstetrics & Gynecology Physician
  • Panama City, FL
  • NPI 1598712770
  NPD (past)
• Emerald Coast Obstetrics & Gynecology, P.a.

  • Obstetrics & Gynecology Physician
  • Panama City, FL
  • NPI 1427364405
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1861576415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054501",
            "telephone_number": "850-769-0338",
            "fax_number": "850-785-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054501",
            "telephone_number": "850-769-0338",
            "fax_number": "850-785-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME21062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065956800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Elaine Wise
• Jennifer L Wit, PA-C
• Brandilynn Wittstruck, ED.S.,NCSP
• Mark Spencer Woernle, MD
• Laurie Wolf, OT
• Samuel B Wolf, D.O.
• Wolfe & Wolfe Enterprises Inc
• Christopher Michael Wolfe, DO
• Waneda Kay Wolfe, M.N., C.N.S., A.N.P.
• Solomon Wolff, APRN

• Obstetrics & Gynecology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.