JONATHAN WOLKWITZ (NPI# 1831186303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831186303 |
| Entity Type | Individual |
| Full Name | JONATHAN WOLKWITZ |
| Credential | PA |
| Practice Address |
116 E. 2nd Dexter NM 88230 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 5757345817 |
| Practice Fax Number | 5757346550 |
| Mailing Telephone | 6154657000 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 96-PA22 | NM | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 96-PA22 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 79336213 | 05 |
| Street Address |
116 E. 2ND |
| City | DEXTER |
| State | NM |
| Zip Code | 88230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962942854 | Sharon White | Registered Nurse | 100 N Lincoln, Dexter, NM 88230 | 2017-02-27 |
| 1245620400 | Teresa Gray | Social Worker | 100 North Lincoln, Dexter, NM 88230 | 2015-01-27 |
| 1225442122 | Samuel Chaves | Occupational Therapist | 404 S. Elford, Dexter, NM 88230 | 2014-06-18 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1114053469 | City of Dexter | Ambulance | 200 E. 2nd St, Dexter, NM 88230 | 2007-02-23 |
| 1275628117 | Clarissa Renee Otero | Social Worker | 100 E Monrill, Dexter, NM 88230 | 2006-10-04 |
| 1699804328 | Vivian S. Matlack | Speech-Language Pathologist | 100 N. Lincoln, Dexter, NM 88230 | 2007-03-06 |
| 1104086404 | Orlando Roberto Chavez | Occupational Therapy Assistant | 403 W 3rd Street, Dexter, NM 88230-0008 | 2008-06-11 |
| 1336278068 | Patricia Hagelstein | Speech-Language Pathologist | 100 N. Lincoln, Dexter, NM 88230-0159 | 2007-03-06 |
| 1942634423 | David Salcido Martinez | Social Worker | 100 N. Lincoln, Dexter, NM 88230-0159 | 2013-09-03 |
| Find all providers in zip 88230 | ||||
| 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 |
|---|---|---|---|---|
| 1962588210 | Kimberly Essner | Physician Assistant | 115 E Business Us Highway 60, Dexter, MO 63841-1219 | 2006-10-30 |
| 1265082317 | Jerica Miller | Physician Assistant | 7093 Dexter Ann Arbor Rd, Dexter, MI 48130-8568 | 2019-09-19 |
| 1578080214 | Stoddard Emergency Group, LLC | Physician Assistant | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2017-08-24 |
| 1407100944 | Tory L Sherman | Physician Assistant | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2012-11-06 |
| 1578641833 | Erik Charles Cabble | Physician Assistant | 7300 Dexter Ann Arbor Rd, Dexter, MI 48130-8598 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405442 | Lauren Elise Pincomb Apodaca | Physician Assistant | 2415 Janet Ann Ln, Las Cruces, NM 88007-5119 | 2020-10-24 |
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1306478870 | Holly Howe | Physician Assistant | 2300 Grande Blvd Se # 4045, Rio Rancho, NM 87124-1755 | 2020-02-12 |
| 1427680750 | Mckenzi Hoffman | Physician Assistant | 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 | 2020-02-05 |
| 1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1033752357 | Daniel Ray Spohn | Physician Assistant | 1630 Rio Rancho Dr Se, Rio Rancho, NM 87124-1587 | 2019-10-18 |
| 1528615101 | Michael La | Physician Assistant | 1202 Main St Ne Ste A, Los Lunas, NM 87031-7421 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.