JACK M WOLFSON (NPI# 1467458000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467458000 |
| Entity Type | Individual |
| Full Name | JACK M WOLFSON |
| Credential | D.O. |
| Practice Address |
10585 N Tatum Blvd Ste D135 Paradise Valley AZ 85253-1073 |
| Practice Telephone | 4805356844 |
| Practice Fax Number | 4805356845 |
| Mailing Telephone | 4805356844 |
| Mailing Fax Number | 4805356845 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2016-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3761 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 690257 | 05 | |
| AZ | RAILROAD MEDICARE | 060068481 | 01 |
| AZ | UNITED HEALTHCARE | 25-01062 | 01 |
| AZ | HEALTHNET | 1Z6403 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0714780 | 01 |
| Street Address |
10585 N TATUM BLVD STE D135 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip Code | 85253-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010852 | Grace Marie Mellen | Registered Nurse | 10585 N Tatum Blvd, Suite D130, Paradise Valley, AZ 85253-1073 | 2015-04-09 |
| 1093099855 | Larissa Nicole Anthony | Physician Assistant | 10585 N Tatum Blvd, Ste D130, Paradise Valley, AZ 85253 | 2011-09-28 |
| 1689819062 | Paradise Valley Endodontic Group, Pllc | Clinic/Center | 10585 N Tatum Blvd, D-132, Paradise Valley, AZ 85253-1073 | 2008-12-12 |
| 1629264148 | Internal Medicine of The Valley Plc | Clinic/Center | 10585 N Tatum Blvd, D-137, Paradise Valley, AZ 85253-1073 | 2007-09-18 |
| 1871785378 | Joseph S. Dovgan, Dds, Ms. PC | Clinic/Center | 10585 N Tatum Blvd, Suite D132, Paradise Valley, AZ 85253-1073 | 2007-08-17 |
| 1033315601 | Cristian N Jivcu | Internal Medicine | 10585 N Tatum Blvd, Ste D130, Paradise Valley, AZ 85253-1073 | 2007-06-21 |
| 1790898880 | Kevin Philip Theodorou | Internal Medicine | 10585 N Tatum Blvd, D-137, Paradise Valley, AZ 85253-1073 | 2006-08-16 |
| 1407891559 | Benjamin M. Sucher, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 10585 N Tatum Blvd, Suite D135, Paradise Valley, AZ 85253-1073 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1104192509 | George Eugene Bandy | Internal Medicine | 3301 E Berridge Ln, Paradise Valley, AZ 85253-3712 | 2012-03-29 |
| 1396980157 | West Coast Cardiology | Internal Medicine | 7560 N 71st St, Paradise Valley, AZ 85253-4801 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1508235730 | Joseph Parraz | Internal Medicine | 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 | 2015-09-17 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
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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.