DR. KRISTY M WOLFF (NPI# 1972548436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972548436 |
| Entity Type | Individual |
| Full Name | DR. KRISTY M WOLFF |
| Credential | M.D. |
| Practice Address |
3307 Renner Dr Fortuna CA 95540-3119 |
| Practice Telephone | 7077256108 |
| Practice Fax Number | 7077252651 |
| Mailing Telephone | 7077256108 |
| Mailing Fax Number | 7077252651 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A77441 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ00521Z | 01 |
| CA | GR0087580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952582603 | Kristy Michelle Wolff | Nurse Practitioner | 935 West 2nd St, Swansea, SC 29160 | 2007-11-23 |
| Street Address |
3307 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912946567 | Gina Rose Gastelum | Physician Assistant | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2006-06-06 |
| 1407296064 | Brandon Eugene Bireley | Surgery | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2013-06-27 |
| 1841429339 | Michael Grant Kent | Surgery | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2009-07-07 |
| 1558421701 | Redwood Women's Health Center | Midwife | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2006-12-11 |
| 1104910306 | David Scott Johnson | Surgery | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2006-10-03 |
| 1538264544 | Stephanie Ivy Stone | Midwife | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1134371339 | Mariana Van Der Merwe | Pharmacist | 725 South Boulevard, Rite Aid Pharmacy, Fortuna, CA 95540 | 2008-10-21 |
| Find all providers in zip 95540 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649229105 | James Mccall Anderson | Obstetrics & Gynecology | 3309 Renner Dr, Fortuna, CA 95540-3119 | 2006-05-10 |
| 1306252051 | Open Door Community Health Centers | Obstetrics & Gynecology | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-07-02 |
| 1609043835 | Tatyana Shereshevsky | Obstetrics & Gynecology | 3309 Renner Dr, Fortuna, CA 95540-3119 | 2008-05-16 |
| 1871768200 | Redwood Women's Center | Obstetrics & Gynecology | 3309 Renner Dr, Fortuna, CA 95540-3119 | 2008-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 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.