KEELY WOLF (NPI# 1891260378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891260378 |
| Entity Type | Individual |
| Full Name | KEELY WOLF |
| Other Name | KEELY RIGGS |
| Credential | PA-C |
| Practice Address |
2327 Sw 4th Ave Ontario OR 97914-1851 |
| Practice Telephone | 5418892340 |
| Mailing Telephone | 5418892340 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 190614 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2327 SW 4TH AVE |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968320 | Judith Norris | Nurse Practitioner | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2005-08-02 |
| 1316558620 | Amber Mechelle Berger | Nurse Practitioner | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2020-08-11 |
| 1154971174 | Emily Grace Bond Russell | Physician Assistant | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2019-09-12 |
| 1184074635 | Brandon Alden Snow | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-06-15 |
| 1366897332 | Daniel F Jones | Family Medicine | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-04-27 |
| 1023471000 | Mark Berger | Clinical Nurse Specialist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-03-29 |
| 1053797746 | Abigail Borman | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2015-08-04 |
| 1780878868 | Sharmeen Nelson | Family Medicine | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2007-08-31 |
| 1336167121 | Valley Family Health Care, Inc | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2006-07-18 |
| 1891711800 | Brian Raymond Jones | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| 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 |
|---|---|---|---|---|
| 1104442391 | Steven Paul Orton | Physician Assistant | 551 E Riverside Dr Apt 26, Ontario, CA 91761-6767 | 2020-06-23 |
| 1326516717 | Ruel Decastro Ramirez Jr. | Physician Assistant | 1454 E 5th St Apt 6, Ontario, CA 91764-2105 | 2018-11-05 |
| 1639621824 | Incare Health Solutions, LLC | Physician Assistant | 375 N Lexington Springmill Rd, Ontario, OH 44906-3812 | 2016-11-04 |
| 1659738920 | Jesus Perea Ochoa | Physician Assistant | 4355 E Airport Dr Ste 100, Ontario, CA 91761-7812 | 2016-01-18 |
| 1073881793 | Russell G Mobley | Physician Assistant | 730 North Turner Ave, Apt 2, Ontario, CA 91764 | 2011-12-08 |
| 1487882015 | Erin Marie Pascale | Physician Assistant | 3200 Inland Empire Blvd Ste 100, Ontario, CA 91764-5569 | 2009-06-22 |
| 1003081415 | Rafael Larios | Physician Assistant | 525 N Laurel Ave, Ontario, CA 91762-3213 | 2008-04-25 |
| 1215119250 | Ronald James Pratt | Physician Assistant | 1910 S Archibald Ave Ste E2, Ontario, CA 91761-8503 | 2007-12-01 |
| 1023227220 | Catlin Kim Hong Nguyen | Physician Assistant | 653 E E St Ste 109, Ontario, CA 91764-4257 | 2007-05-22 |
| 1902816085 | Leon Alfred Santa Cruz | Physician Assistant | 3200 Inland Empire Blvd., Ontario, CA 91764 | 2006-08-09 |
| Find all providers in ONTARIO | ||||
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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.