MS. CRYSTAL WOLF (NPI# 1558805705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558805705 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL WOLF |
| Credential | PA |
| Practice Address |
4921 Parkview Pl Ste 8c Ste 8c Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147471369 |
| Practice Fax Number | 3143671943 |
| Mailing Telephone | 3147471369 |
| Mailing Fax Number | 3143671943 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2016044983 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376916510 | Crystal Charlotte Wolf | Registered Nurse | 2104 S 247th St, Des Moines, WA 98198-3901 | 2015-11-10 |
| Street Address |
4921 PARKVIEW PL STE 8C STE 8C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981737 | Alexandra Gutierrez | Internal Medicine | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2006-02-17 |
| 1649825902 | Sanket Srinivasa | Surgery | 4921 Parkview Pl Ste 8c, Saint Louis, MO 63110-1032 | 2019-08-05 |
| 1467903518 | Brittany Leigh Brecklin | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2016-10-24 |
| 1669849402 | Rachel Eden Maday | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2015-08-27 |
| 1023422599 | Leticia Sian Cross | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2014-06-12 |
| 1235483447 | Jennifer Maria Schulze | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2012-11-09 |
| 1205117058 | Kelly Jean Dodds | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2011-09-07 |
| 1730405812 | Sara Holden | Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2010-04-14 |
| 1114193521 | Leigh A Dageforde | Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2008-05-06 |
| 1659567469 | Arghavan Salles | Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2007-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779341 | Andrew Hecht | Physician Assistant | 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 | 2020-10-30 |
| 1396352860 | Alexis Lindsey | Physician Assistant | 5629 Bischoff Ave, Saint Louis, MO 63110-2929 | 2020-09-28 |
| 1942824339 | Jett Elena Mcguire | Physician Assistant | 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 | 2020-06-02 |
| 1356965602 | Katherine Anne Hill | Physician Assistant | 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 | 2020-06-02 |
| 1326669516 | Kayla Bergmann | Physician Assistant | 58 W Glendale Rd, Saint Louis, MO 63119-4054 | 2020-04-29 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1477172237 | Allison Mcniell | Physician Assistant | 3853 Mcdonald Ave # 1f, Saint Louis, MO 63116-4716 | 2020-04-13 |
| 1922627728 | Allissa Speiser | Physician Assistant | 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 | 2020-04-11 |
| 1578182564 | Alexander Charles Greff | Physician Assistant | 6416 Oakland Ave Apt 306, Saint Louis, MO 63139-3226 | 2020-04-10 |
| 1043839061 | Andrew Chida | Physician Assistant | 2050 Lafayette Ave Apt 1e, Saint Louis, MO 63104-2529 | 2020-04-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on MS. CRYSTAL WOLF.
| 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.