Susan Wolfe (NPI# 1336689470, PAC ID# 8123386968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336689470 |
| PAC ID by PECOS | 8123386968 |
| Professional Enrollment ID | I20171227001680 |
| Full Name | Susan Wolfe |
| Organization Legal Name | STARKE FAMILY MEDICAL CENTER INC |
| Address |
175 N Lawrence Blvd Keystone Heights FL 32656-9351 |
| Phone Number | 3524733199 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143207704 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101310 | SHANDS STARKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 175 N Lawrence Blvd, Keystone Heights, FL 32656-9351 | 3524733199 | STARKE FAMILY MEDICAL CENTER INC |
| Organization Legal Name | STARKE FAMILY MEDICAL CENTER INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessie Ellis Jamison | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Jessica M Miller | Family Medicine | Starke Family Medical Center Inc | 275 W Main St, Lake Butler, FL 32054-1641 |
| Charles J Franson Jr. | Family Medicine | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Gloria Lynn Niquette | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Sandra J Northway | Nurse Practitioner | Starke Family Medical Center Inc | 175 N Lawrence Blvd, Keystone Heights, FL 32656-9351 |
| Brenda K Corbin | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Mary T Konkel | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Kimberly Beers Castillo | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Street Address |
175 N LAWRENCE BLVD |
| City | KEYSTONE HEIGHTS |
| State | FL |
| Zip | 32656-9351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Northway | Nurse Practitioner | Starke Family Medical Center Inc | 175 N Lawrence Blvd, Keystone Heights, FL 32656-9351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather R Davis | Nurse Practitioner | Rural Health Care Incorporated | 100 Commercial Dr, Keystone Heights, FL 32656-6802 |
| Wanda I Villanueva Gonzalez | General Practice | Rural Health Care Incorporated | 100 Commercial Dr, Keystone Heights, FL 32656-6802 |
| Milagros Montalvo Rosa | General Practice | Rural Health Care Incorporated | 100 Commercial Dr, Keystone Heights, FL 32656-6802 |
| Carlos J Colon | General Practice | Rural Health Care Incorporated | 100 Commercial Dr, Keystone Heights, FL 32656-6802 |
| Betty J Krause | Nurse Practitioner | Rural Health Care Incorporated | 100 Commercial Dr, Keystone Heights, FL 32656-6802 |
| Laura A Hogan | Diagnostic Radiology | Quantum Medical Radiology of California PC | 5755 County Rd, Suite 214, Keystone Heights, FL 32656-7939 |
| Jinnifer M Stephan | Chiropractic | 330 A S Lawrence Blvd, Keystone Heights, FL 32656-9219 | |
| George L Restea | Internal Medicine | 6542 Triest Ave, Keystone Heights, FL 32656-9393 |
| City | KEYSTONE HEIGHTS |
| Zip Code | 32656 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KEYSTONE HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan Wolfe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.