DR. CYDNEY LEIGH WOLF (NPI# 1134527468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134527468 |
Entity Type | Individual |
Full Name | DR. CYDNEY LEIGH WOLF |
Credential | DO |
Practice Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-4896 |
Practice Telephone | 3608822778 |
Enumeration Date | 2014-12-19 |
Last Update Date | 2019-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | OP60949791 | WA | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | PG188401 | OR | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | R10401 | IA | Allopathic & Osteopathic Physicians |
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
PG188401 | OR | Allopathic & Osteopathic Physicians |
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
OP60949791 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2105836 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1111 6th Ave, Des Moines, IA 503142613 | 5156432261 | 5156435802 |
3181 Sw Sam Jackson Park Rd, Portland, OR 972393098 | 5034941111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205038486 | Cydney Jared Wolf | Dietitian, Registered | 1 S Prospect St, Renal Services, Burlington, VT 05401-3456 | 2007-06-01 |
Street Address |
700 NE 87TH AVE |
City | VANCOUVER |
State | WA |
Zip Code | 98664-1913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
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Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851596837 | Dawnrenee Cinocco | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2007-06-19 |
1477658961 | Wendy Ann Wanlass | Internal Medicine | 1603 Fourth Plain Blvd, Va Medical Center Nscu, Vancouver, WA 98661 | 2006-09-13 |
1124465901 | Jessica K Chan | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2013-06-03 |
1407181217 | Dr. Dawnrenee Cinocco Md Pllc | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2009-10-12 |
1982861779 | Jean Yoo Campbell | Internal Medicine | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2008-05-20 |
1235249145 | Rima Huda Jallad | Internal Medicine | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-08-30 |
1669485165 | Mary Alice Shepard | Internal Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619507662 | 6m Geriatrics & Hospital Medicine | Internal Medicine | 620 Terry Ave Unit 202, Seattle, WA 98104-2020 | 2020-01-17 |
1164072765 | Vm Provision Care LLC | Internal Medicine | 3640 S Cedar St Ste O, Tacoma, WA 98409-5700 | 2019-09-16 |
1285977983 | Martha and Mary Lutheran Services | Internal Medicine | 19160 Front Street Ne, Poulsbo, WA 98370-0127 | 2013-04-01 |
1285995365 | Jazmin Ivette Yepez Kuri | Internal Medicine | 1200 N 14th Ave Ste 300, Our Lady of Lourdes Hospital At Pasco, Pasco, WA 99301-4195 | 2012-06-05 |
1851684914 | Lissette Ramirez Suero | Internal Medicine | 560 Gage Blvd Ste 203, Kadlec Clinic Senior Health, Richland, WA 99352-8650 | 2011-05-24 |
1568751097 | Delia Lee Takagi | Internal Medicine | 560 Gage Blvd Suite 102, Richland, WA 99325 | 2011-04-05 |
1780982694 | Shirley Newell | Internal Medicine | 1126 38th Ave E, Seattle, WA 98112-4434 | 2011-03-02 |
1407088016 | Daniel Raskind Md Pllc | Internal Medicine | 5320 135th Pl Se, Bellevue, WA 98006-4238 | 2009-08-14 |
1497953947 | Diane A. Faran | Internal Medicine | 9040 Jacksonave, Tacoma, WA 98431-2306 | 2007-07-06 |
1518164052 | Elaine Liu | Internal Medicine | 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 | 2007-06-28 |
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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.