DR. JEFFREY STEPHEN WOLF (NPI# 1083731525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083731525 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY STEPHEN WOLF |
| Credential | M.D. |
| Practice Address |
3235 Academy Ave Suite 200 Portsmouth VA 23703-3200 |
| Practice Telephone | 7574849653 |
| Practice Fax Number | 7574849662 |
| Mailing Telephone | 7574849653 |
| Mailing Fax Number | 7574849662 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208C00000X | Colon & Rectal Surgery | 9400174 | NC | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 0101031444 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 200136 | 01 |
| VA | MAMSI | 292832 | 01 |
| VA | 005841232 | 05 | |
| NC | 890528E | 05 | |
| VA | ANTHEM | 072337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740314764 | Jeffrey A. Wolf | Obstetrics & Gynecology | 42 Peninsula Ctr, #400, Rolling Hills Estates, CA 90274-3506 | 2007-03-14 |
| 1720077480 | Jeffrey L. Wolf | Specialist | 400 Parnassus Ave Ste A502, San Francisco, CA 94143-2202 | 2005-10-17 |
| 1447654405 | Jeffrey S Wolf | Community Health Worker | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2014-10-20 |
| 1497997258 | Jeffrey E Wolf | Technician/Technologist | 1689 N Bechtle Ave, Springfield, OH 45504-1568 | 2009-03-25 |
| 1699782086 | Jeffrey Scott Wolf | Otolaryngology | 16 S Eutaw St, Baltimore, MD 21201-1606 | 2006-08-01 |
| 1164460952 | Jeffrey M. Wolf | Internal Medicine | 233 E Shore Rd, #112, Great Neck, NY 11023-2433 | 2006-06-03 |
| Street Address |
3235 ACADEMY AVE SUITE 200 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238096 | Mark A Pavilack | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | 2005-07-13 |
| 1346470572 | Nancy D Myers | Physician Assistant | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 | 2009-07-22 |
| 1245469964 | Tidewater Eye Centers | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | 2009-07-02 |
| 1871732784 | Churchland Family Medicine PC | Family Medicine | 3235 Academy Ave, Suite 102, Portsmouth, VA 23703-3200 | 2009-02-17 |
| 1235393059 | Krunal Manubhai Patel | Internal Medicine | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 | 2008-07-10 |
| 1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
| 1942488564 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 | 2008-02-06 |
| 1578750584 | Karen Diane Kahan | Nurse Practitioner | 3235 Academy Ave, Suite 305, Portsmouth, VA 23703-3200 | 2007-10-03 |
| 1548466238 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 | 2007-06-21 |
| 1326177056 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073809281 | Mercy Danielle Wagner | Colon & Rectal Surgery | 260 John Paul Jones Cir, Portsmouth, VA 23708 | 2011-06-26 |
| 1790794022 | Colon Rectal Surgery of Tidewater, P.C. | Colon & Rectal Surgery | 3235 Academy Ave, Suite 100, Portsmouth, VA 23703-3200 | 2006-08-05 |
| 1265495097 | Paul Albert Lucha Jr. | Colon & Rectal Surgery | 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818025 | Chong S. Lee | Colon & Rectal Surgery | 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 | 2006-12-18 |
| 1427169507 | Fairfax Colon & Rectal Surgery, PC | Colon & Rectal Surgery | 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 | 2006-08-31 |
| 1710918438 | Northern Virginia Surgical Group, PC | Colon & Rectal Surgery | 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 | 2006-07-05 |
| 1720052285 | Gregory P Fitzharris | Colon & Rectal Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2006-02-13 |
| 1356311286 | Paul Jerome Kovalcik | Colon & Rectal Surgery | 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653 | 2006-01-24 |
| 1396725636 | Beth Rachelle Jaklic | Colon & Rectal Surgery | 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 | 2006-01-20 |
| 1174525869 | Othon Wiltz | Colon & Rectal Surgery | 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 | 2005-08-11 |
| 1598107674 | Virginia Hospital Center Physician Group, LLC | Colon & Rectal Surgery | 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 | 2013-07-18 |
| 1497092944 | Christina Cheng | Colon & Rectal Surgery | 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 | 2013-01-03 |
| 1063733350 | Terry Paul Nickerson | Colon & Rectal Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-06-21 |
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| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.