MARK WOLVERTON MD
NPI 1174500888
Family Medicine in Fairmont, MN

Active since December 23, 2005
800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8555 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Wolverton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WOLVERTON MD (NPI 1174500888) is an individual family medicine provider in Fairmont, Minnesota, licensed in Minnesota (21418) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1174500888
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK WOLVERTONCredential: MD
Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575
Mailing Address800 Medical Center Dr, Po Box 800Fairmont, MN 56031-4575 · (507) 238-8555
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1174500888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 21418
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 MEDICAL CENTER DR, Fairmont, MN 56031

Other Identifiers 16

Medicare ID-Type UnspecifiedP00198709MN · Railroad Medicare
Medicaid116281MN
Medicaid903294IA
Medicare ID-Type Unspecified80013653MN
Other22379MN · Sioux Valley
Medicare ID-Type Unspecified5T432WOMN · Bc Medicare Supplement
Medicaid5T432WOMN
OtherMH9041000384MN · Preferredone
Other01-12157MN · Medica
Other705219MN · Araz
OtherHP30229MN · Healthpartners
OtherA015MN · Champus
Other6848MN · Avera
Medicare NSC80013653MN
Other5T432WOMN · Blue Cross
Medicare UPIND49071

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Occupational Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Nurse Practitioner
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Dietitian, Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Nurse Practitioner (Family)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Podiatrist (Foot & Ankle Surgery)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Non-Pharmacy Dispensing Site
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wolverton's NPI number?

The NPI number for Mark Wolverton is 1174500888. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Mark Wolverton located?

Mark Wolverton practices at 800 Medical Center Dr, Fairmont, MN 56031. The listed phone number is (507) 238-8555.

What is Mark Wolverton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Wolverton was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.