KIMBERLY JOANNA WOLF (NPI# 1326363581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326363581 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOANNA WOLF |
| Other Name | KIMBERLY JOANNA GRANTZ-WOLF |
| Credential | DO |
| Practice Address |
2201 Courage Dr Fairfield CA 94533-6733 |
| Mailing Address |
1310 Club Dr Vallejo CA 94592-1187 |
| Practice Telephone | 7074694640 |
| Mailing Telephone | 7076385963 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20A16000 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 34010573 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0082608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285725291 | Kimberly M Wolf | Clinical Nurse Specialist | 701 Park Ave # O8, Minneapolis, MN 55415-1623 | 2006-09-27 |
| 1285628610 | Kimberly Sue Wolf | Nurse Practitioner | 703 S Highway 377, Aubrey, TX 76227-5534 | 2005-08-31 |
| 1730729286 | Kimberly Marie Wolf | Speech-Language Pathologist | 1519 S Grace St, Lombard, IL 60148-4649 | 2020-01-13 |
| 1588172886 | Kimberly Anne Wolf | Occupational Therapist | 2850 S Industrial Hwy Ste 75, Ann Arbor, MI 48104-6796 | 2018-01-21 |
| 1114298528 | Kimberly Ann Wolf | Internal Medicine | 2 Meridian Blvd, Wyomissing, PA 19610-3202 | 2012-01-16 |
| 1447571831 | Kimberly Marie Wolf | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2010-06-20 |
| Street Address |
2201 COURAGE DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180219 | Sumera Ahmed | Internal Medicine | 2201 Courage Dr, Fairfield, CA 94533 | 2006-03-29 |
| 1396230678 | Lianna Albert | Counselor | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2018-06-28 |
| 1467849554 | Elizabeth Carole Coudright | Social Worker | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2015-04-16 |
| 1508273012 | Makani Da Silva | Physician Assistant | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2014-07-16 |
| 1063857977 | Shannon Marie Malouf | Physician Assistant | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2013-05-06 |
| 1467799502 | Christina Kinnevey | Family Medicine | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2013-01-09 |
| 1871863548 | Stella Marie Sarmiento | Pediatrics | 2201 Courage Dr, Ms-9100, Fairfield, CA 94533-6733 | 2012-01-11 |
| 1427330869 | County of Solano | Clinic/Center | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2011-09-12 |
| 1083900708 | Jordan Ann Keys | Neuromusculoskeletal Medicine & OMM | 2201 Courage Dr, Fairfield, CA 94533 | 2011-06-21 |
| 1093041659 | Kim Marie Pfotenhauer | Family Medicine | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134421118 | Sunil Mehra | Pediatrics | 1175 Stillson Rd, Fairfield, CT 06824-3017 | 2010-11-24 |
| 1073665121 | Pediatrics of Hamilton Inc | Pediatrics | 1251 Niles Road, Suite 8, Fairfield, OH 45014 | 2007-01-17 |
| 1427139633 | Christopher Co | Pediatrics | 511 Nilles Rd, Fairfield, OH 45014-2634 | 2006-10-17 |
| 1215024591 | Henry H Collins | Pediatrics | 1234 Empire St, Fairfield, CA 94533-5711 | 2006-10-06 |
| 1174536999 | Nancy C Amberson | Pediatrics | 525 Tunxis Hill Cut Off, Fairfield, CT 06825-4447 | 2006-08-14 |
| 1629019393 | Stephanie Toy | Pediatrics | 1455 Oliver Rd, Suite 250, Fairfield, CA 94534-3433 | 2006-06-10 |
| 1841260296 | Jean G Janelle | Pediatrics | 5900 Boymel Dr, Fairfield, OH 45014-5526 | 2006-01-26 |
| 1679554398 | Danette Lebaron | Pediatrics | 3035 German St, Fairfield, CA 94534-8314 | 2005-11-09 |
| 1548253990 | Fairfield Pediatrics Inc | Pediatrics | 501 Kings Hwy E, Ste 203, Fairfield, CT 06825 | 2005-08-31 |
| 1275539918 | David K Israel | Pediatrics | 209 Nw 11th St, # 209, Fairfield, IL 62837-1218 | 2005-06-27 |
| Find all providers in FAIRFIELD | ||||
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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.