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DR. MARK H DEWOLFE M.D. NPI 1124021142


NPI Information

NPI: 1124021142
Provider Name: DR. MARK H DEWOLFE, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: SAINT LUKES PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
5400 N OAK TRFY
SUITE 101
KANSAS CITY, MO
ZIP 64118
Phone: (816) 454-1658
Get Directions

DR. Mark H Dewolfe, M.D. is a hematology and oncology internal medicine in Kansas City, MO with 47 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Mark H Dewolfe, M.D. NPI is 1124021142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1977

The provider's business location address is:

5400 N OAK TRFY
SUITE 101
KANSAS CITY, MO
ZIP 64118-688
Phone: (816) 454-1658
Fax: (816) 454-1734

The NPI 1124021142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 12/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyR3A25MISSOURIYes
2207RH0003XInternal MedicineHematology & Oncology04-19790KANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11001457701OTHERMISSOURICOMMUNITY HEALTH PLAN
22051670901MEDICAIDKANSAS
3C51836MEDICARE UPINMISSOURI
4830001980MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE RAILROAD
54340992OTHERMISSOURIAETNA
612440OTHERMISSOURIHM CARE
713192OTHERMISSOURICOVENTRY
83650047OTHERMISSOURIUHC
95824994AMEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE RURAL
105824994MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE LOCAL
11026295099OTHERMISSOURIFEDERAL BLACK LUNG
12560391OTHERMISSOURIFIRSTGUARD
13480911591028OTHERMISSOURICIGNA
1497759OTHERMISSOURIADVANTRA MEDICARE REPLACE
15201787405MEDICAIDMISSOURI
1609468014OTHERMISSOURIBCBS OF KANSAS CITY
17497815OTHERKANSASBCBS OF KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.