DR. KENNETH WOLF (NPI# 1083741367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083741367 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WOLF |
| Other Name | DR. KENNETH WOLF |
| Credential | MD |
| Practice Address |
1990 Union Lake Rd Ste 200 Commerce Township MI 48382-2200 |
| Practice Telephone | 2483639413 |
| Mailing Telephone | 2483639413 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301052877 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932215498 | Kenneth Gerard Wolf | Chiropractor | 1276a Jungermann Rd, Saint Peters, MO 63376-6961 | 2006-08-21 |
| 1982609152 | Kenneth Wolf | Dentist | 7633 Highway 70 S, Nashville, TN 37221-1706 | 2005-06-15 |
| 1316318413 | Kenneth Wolf | Psychologist | 6330 Bloomfield Glens Rd, West Bloomfield, MI 48322-2513 | 2015-10-14 |
| 1902003478 | Kenneth E Wolf | Medical Genetics, Ph.D. Medical Genetics | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-06-28 |
| 1386739324 | Kenneth Joel Wolf | Ophthalmology | 1180 Morris Park Ave, Bronx, NY 10461-1925 | 2006-10-04 |
| 1417952235 | Kenneth P Wolf | Ophthalmology | 249 Main St, Lewiston, ME 04240-7053 | 2005-06-17 |
| Street Address |
1990 UNION LAKE RD STE 200 |
| City | COMMERCE TOWNSHIP |
| State | MI |
| Zip Code | 48382-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373933 | Kevin Piper | Occupational Therapist | 3517 Clark Circle, Commerce, MI 48382 | 2018-04-13 |
| 1215483953 | Jodi Lynn Van Proeyen | Community Health Worker | 8749 Buckskin Drive, Commerce Township, MI 48382 | 2016-09-01 |
| 1912382532 | Lindsay Anne Brossy | Nurse Practitioner | 8906 Commerce Rd Unit 5, Commerce Twp, MI 48382 | 2015-07-24 |
| 1386991008 | Joao Najar | Dentist | 1440 Woodview Lane, Commerce, MI 48382 | 2012-08-13 |
| 1275828709 | Stacy Ann Madany | Physician Assistant | 9640 Commerce Road, Suite 100, Commerce, MI 48382 | 2011-06-13 |
| 1801038740 | Kent C. Bowden Do Pllc | Surgery | 1 William Carls Drive, Huron Valley Sinai Hospital, Commerce, MI 48382 | 2009-03-24 |
| 1982895207 | Stephanie Lee Adams | Specialist/Technologist | 8391 E. Commerce Rd., Suite 108, Commerce Township, MI 48382 | 2007-08-05 |
| 1780890459 | William Lee Thompson | Dentist | 2900 Union Lake Rd Ste 105, Commerce Township, MI 48382 | 2007-05-16 |
| 1184836082 | Kadima Jewish Support Services for Adults With Mental Illness | Community/Behavioral Health | 15999 West 12 Mile Road, Southfield, MI 48382 | 2007-05-04 |
| 1821132945 | Alan Elliot Parven | Optometrist | 3000 Commerce Crossing Rd, Commerce Township, MI 48382 | 2007-02-20 |
| Find all providers in zip 48382 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043347354 | Farris Gulli | Surgery | 1 William Carls Dr, Commerce Township, MI 48382-2201 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
| 1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
| 1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
| 1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
| 1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
| 1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
| 1689689259 | Milena Diana Lambie | Surgery | 27750 Middlebelt Rd Ste 150, Farmington Hills, MI 48334-5007 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
| City | COMMERCE TOWNSHIP |
| Zip Code | 48382 |
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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.