DR. ROBERT J WOLF (NPI# 1003805904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003805904 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J WOLF |
| Credential | MD |
| Practice Address |
1540 Lake Lansing Rd Suite 107 Lansing MI 48912-3756 |
| Mailing Address |
53 Hunter Rd Uxbridge MA 01569-1153 |
| Practice Telephone | 5179133800 |
| Practice Fax Number | 5179133901 |
| Mailing Telephone | 5087790357 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301073351 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH PLAN-COMMERCIAL | 1023349 | 01 |
| MI | PHP FAMILYCARE | 200000001052 | 01 |
| MI | MEDICARE ADVANTAGE | 0M21440051 | 01 |
| MI | MCLAREN HEALTH PLAN-MEDICAID | 1023349 | 01 |
| AETNA | 7721024 | 01 | |
| RAILROAD MEDICARE | P00350809 | 01 | |
| MI | PHP | 200000001052 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1023349 | 01 |
| PHCS | 255189 | 01 | |
| MI | 4815847 | 05 | |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK | 3003314351 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972988566 | Robert Wolf | Marriage & Family Therapist | 2100 Monument Blvd Ste 17, Pleasant Hill, CA 94523-3400 | 2015-07-23 |
| 1609058478 | Robert Auer Wolf | Family Medicine | 181 La Vereda Rd, Pasadena, CA 91105-1225 | 2007-12-03 |
| 1821136136 | Robert Allen Wolf | Family Medicine | 9179 E Happy Hollow Dr, Scottsdale, AZ 85262-2574 | 2007-02-01 |
| 1750432308 | Robert Wolf | Optometrist | 206 N Madison St, Woodstock, IL 60098-3450 | 2007-01-12 |
| 1962576967 | Robert Owen Wolf | Dentist | 107 S Prospect Rd, Bloomington, IL 61704-4403 | 2006-11-20 |
| 1063597581 | Robert Irwin Wolf | Psychologist | 529 W 42nd St, Apt. 2l, New York, NY 10036-6220 | 2006-10-25 |
| 1841206729 | Robert Hugh Wolf | Chiropractor | 2960 St Rose Parkway #150, Henderson, NV 89052 | 2006-07-31 |
| 1376566034 | Robert John Wolf | Internal Medicine | 240 Saunders Rd, Riverwoods, IL 60015-3835 | 2006-07-25 |
| 1598722936 | Robert Wolf | Psychiatry & Neurology | 1073 Oak St Se, Salem, OR 97301-4018 | 2006-04-28 |
| 1215925235 | Robert Jordan Wolf | Family Medicine | 361 Fair Hill Dr, Elkton, MD 21921-2512 | 2005-10-13 |
| Street Address |
1540 LAKE LANSING RD SUITE 107 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215303383 | Kimberly Naert | Registered Nurse | 1540 Lake Lansing Rd, Ste. G05, Lansing, MI 48912-3756 | 2015-08-12 |
| 1033513148 | Edward W Sparrow Hospital Association | Obstetrics & Gynecology | 1540 Lake Lansing Rd, Suite 205, Lansing, MI 48912-3756 | 2014-10-17 |
| 1730519109 | Mary Kosman | Nurse Practitioner | 1540 Lake Lansing Rd, Ste G06, Lansing, MI 48912-3756 | 2013-11-20 |
| 1851735153 | Megan Quinn Thompson | Registered Nurse | 1540 Lake Lansing Rd, Suite 201, Lansing, MI 48912-3756 | 2013-04-18 |
| 1275886392 | Catherine Jo Johnson | Registered Nurse | 1540 Lake Lansing Rd, Lansing, MI 48912-3756 | 2012-10-26 |
| 1861745333 | Ronel Claassens | Occupational Therapist | 1540 Lake Lansing Rd, Suite G-01, Lansing, MI 48912-3756 | 2012-10-22 |
| 1275820300 | Firas Mohammad Riyazuddin | Internal Medicine | 1540 Lake Lansing Rd, Suite 102, Lansing, MI 48912-3756 | 2011-07-10 |
| 1538450226 | Celina Ann Kirsch | Physician Assistant | 1540 Lake Lansing Rd, Suite 103, Lansing, MI 48912-3756 | 2011-04-28 |
| 1356630099 | Malani Marie Gupta | Anesthesiology | 1540 Lake Lansing Rd, Suite G06, Lansing, MI 48912-3756 | 2011-04-04 |
| 1659677607 | Mid-michigan Physicians, PC | Internal Medicine | 1540 Lake Lansing Rd, Suite 203, Lansing, MI 48912-3756 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104857762 | James H. Deering | Radiology | 1540 Lake Lansing Rd Ste 107, Lansing, MI 48912-3757 | 2006-07-05 |
| 1164798286 | Aaron Matthew Vandreel | Radiology | 401 W Greenlawn Ave, Lansing, MI 48910 | 2012-03-23 |
| 1548450547 | Sherry Aujla | Radiology | 1215 E Michigan Ave, Sparrow Health System, Lansing, MI 48912-1811 | 2007-07-26 |
| 1417172875 | Robert Bruce Hills | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2007-04-13 |
| 1245248061 | Ingham Radiology Associates, PC | Radiology | 2909 E Grand River Ave, Suite 102, Lansing, MI 48912-4300 | 2006-08-04 |
| 1982632451 | Stephen D. Chapman | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-30 |
| 1568490837 | Michael P. Buetow | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1407884604 | Woon-man Chung | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1427086693 | Kenneth E. Thorp | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1386671188 | Tricia A. Byrd | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-27 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.