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WOLF MEDICAL GROUP, LLC
NPI 1205440153
Family Medicine in Rising Sun, MD

Active since September 08, 2020CLIA 21D2213793 · Waiver
101 COLONIAL WAY STE B, RISING SUN, MD 21911(443) 485-9116(877) 426-3121 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2025, Nov 26, 2021, Sep 8, 2020 (3 updates tracked since 2020).

About Wolf Medical Group, Llc NPPES

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

WOLF MEDICAL GROUP, LLC (NPI 1205440153) is a healthcare organization registered as a family medicine in Rising Sun, Maryland and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Robert Jordan Wolf, Owner, as its authorized official.

NPPES Registry Identity

NPI1205440153
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWOLF MEDICAL GROUP, LLC
Location Address101 COLONIAL WAY STE BRising Sun, MD 21911-2272
Mailing Address120 Ryan DrRising Sun, MD 21911-1840 · (443) 485-9116 · Fax (877) 426-3121
Phone(443) 485-9116
Fax(877) 426-3121
Organization SubpartNo
Authorized OfficialRobert Jordan WolfOwner · (443) 485-9116
Enumeration DateSeptember 8, 2020
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1205440153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
101 COLONIAL WAY STE B, Rising Sun, MD 21911
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2213793

Wolf Medical Group · Rising Sun, MD
Active · expires Feb 16, 2027
CLIA Number21D2213793
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorRobert J. Wolf
Laboratory Phone(443) 485-9116
Laboratory LocationWolf Medical Group101 Colonial Way Suite B, Rising Sun, MD 21911
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ROBERT JORDAN WOLF MD
Family Medicine
101 COLONIAL WAY STE B
RISING SUN, MD 21911
Cecil County (443) 485-9116
MICHELLE ANN MORRIS FNP-C
Nurse Practitioner (Family)
101 COLONIAL WAY STE B
RISING SUN, MD 21911
Cecil County (443) 485-9116

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 Wolf Medical Group, LLC's NPI number?

The NPI number for Wolf Medical Group, LLC is 1205440153. It was assigned to this organization in the NPPES registry on September 8, 2020.

Where is Wolf Medical Group, LLC located?

Wolf Medical Group, LLC is located at 101 Colonial Way Ste B, Rising Sun, MD 21911. The listed phone number is (443) 485-9116.

What is Wolf Medical Group, LLC's specialty?

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

Does Wolf Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2213793) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wolf Medical Group, LLC was last updated on February 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.