EVAN WOLF (NPI# 1205801586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205801586 |
| Entity Type | Individual |
| Full Name | EVAN WOLF |
| Credential | M.D.,PHD |
| Practice Address |
4505 E Greenstreet Cir Wasilla AK 99654-8425 |
| Practice Telephone | 9073762020 |
| Practice Fax Number | 9073573937 |
| Mailing Telephone | 9073762020 |
| Mailing Fax Number | 9073573937 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2010-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4915 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD22351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065733 | Evan Edward Wolf | Physician Assistant | 2 Palisades Dr, Aac, A Division of Prime Care Physicians, Pllc, Albany, NY 12205-1438 | 2006-06-28 |
| Street Address |
4505 E GREENSTREET CIR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068328 | Austin Anderson | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2019-08-13 |
| 1831542414 | Alyssa M Harris | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2016-07-19 |
| 1689006942 | Amber Mayberry | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2013-08-08 |
| 1144451741 | Lauren Kanemi Evans | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721146 | Alaska Childrens Eye and Strabismus LLC | Ophthalmology | 3500 Latouche Street, Suite 280, Anchorage, AK 99508 | 2013-11-22 |
| 1245678978 | Elaine Rose Mcelhinny | Ophthalmology | 3801 University Lake Dr Fl 2, Anchorage, AK 99508 | 2013-06-04 |
| 1689916470 | John Logan Bennion | Ophthalmology | 5955 Zeamer Ave # Dod-va, Jber, AK 99506-3702 | 2013-03-20 |
| 1629209143 | Olympia Eye Clinic, Inc., P.s. | Ophthalmology | 2841 Debarr Rd Bldg A, Suite 32, Anchorage, AK 99508-2958 | 2009-07-31 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| 1811005606 | Jan H Nyboer | Ophthalmology | 9350 Independence Dr, Anchorage, AK 99507 | 2006-08-29 |
| 1871606681 | Eric W Coulter | Ophthalmology | 235 E 8th Ave Ste 3a, Anchorage, AK 99501-3662 | 2006-08-16 |
| 1891701736 | Garret Lamendola Sitenga | Ophthalmology | 4381 E Hill Rd, Homer, AK 99603-8203 | 2006-07-31 |
| 1821045188 | Robert A Breffeilh | Ophthalmology | 3268 Hospital Dr Ste A, Ste A, Juneau, AK 99801 | 2006-05-30 |
| 1932151149 | Gordon R Preecs | Ophthalmology | 3268 Hospital Dr, Ste A, Juneau, AK 99801-7808 | 2006-05-16 |
| 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.