JEFFREY P WOLTERS (NPI# 1679770051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770051 |
| Entity Type | Individual |
| Full Name | JEFFREY P WOLTERS |
| Credential | MD, MPH |
| Practice Address |
4724 N Davis Hwy Pensacola FL 32503-2339 |
| Practice Telephone | 8506964000 |
| Practice Fax Number | 8504322532 |
| Mailing Telephone | 8506964000 |
| Mailing Fax Number | 8504322532 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME114334 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 0101251366 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4724 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881222 | Elmer P Brestan | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2005-09-12 |
| 1548869142 | Sherry Leroy | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-10-23 |
| 1013522325 | Florida Gulf Coast Anesthesia, LLC | Anesthesiology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-09-14 |
| 1639709835 | Kaitlin Graye | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-01-16 |
| 1710443486 | Kaitlyn Weaver | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2019-02-18 |
| 1750877791 | Karen Lynn Atkins | Dietitian, Registered | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2018-07-02 |
| 1497260400 | Debbie Ann Sprague | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503 | 2017-12-13 |
| 1245761634 | Charles Blay | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2017-03-27 |
| 1538532692 | Kaley Morris | Physician Assistant | 4724 N Davis Hwy, Pensacola, FL 32503 | 2015-11-10 |
| 1790167930 | Jeana Varner | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003141383 | Woodlands Medical Specialists P A | Urology | 2120 E Johnson Ave, Suite 100, Pensacola, FL 32514-6036 | 2009-10-05 |
| 1588999874 | Woodlands Medical Specialists P A | Urology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2009-10-05 |
| 1659501146 | Woodlands Medical Specialists P A | Urology | 1717 N E St, Suite 430, Pensacola, FL 32501-6339 | 2009-07-20 |
| 1013178227 | Ashley B. King | Urology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2008-06-19 |
| 1174784573 | Kevin Gerald Mahaffey | Urology | 6000 W Highway 98, Naval Hospital Urology, Pensacola, FL 32512-0001 | 2008-06-19 |
| 1063689297 | Ezekiel Young | Urology | 5153 North 9th Ave., Nemours Childrens Specialty Care, Pensacola, Pensacola, FL 32504-8785 | 2008-05-16 |
| 1245415454 | Ryan Keith Miyamoto | Urology | 1717 N E St, 430, Pensacola, FL 32501-6339 | 2008-01-07 |
| 1972700565 | Margaret Elizabeth Speeker-cruit | Urology | 1717 N E St, Suite 430, Pensacola, FL 32501-6339 | 2007-06-28 |
| 1538251715 | Richard Evan Caesar | Urology | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2006-09-28 |
| 1265471536 | Robert A. Mevorach | Urology | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2006-06-05 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on JEFFREY P WOLTERS.
| 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.