DR. DAVID SHANE WOLF (NPI# 1336130152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336130152 |
| Entity Type | Individual |
| Full Name | DR. DAVID SHANE WOLF |
| Credential | D.O. |
| Practice Address |
205 S Front St Ste 907 Harrisburg PA 17104-1619 |
| Practice Telephone | 7172318313 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
OS017863 | PA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
229896-1 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Roe Ave., Arnot Ogden Medical Center, Elmira, CO 14905 | 6077374543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114346798 | David Wolf | Home Health Aide | 2370 Hummingbird Ln, Bullhead City, AZ 86442-7790 | 2014-04-10 |
| 1396926028 | David Brian Wolf | Social Worker | 10822 Nw 199th Ave, Alachua, FL 32615-3900 | 2007-11-22 |
| 1871679126 | David Wolf | Chiropractor | 20 Crossroads Ct., Ste. B, Delafield, WI 53018 | 2006-10-30 |
| 1265481717 | David L Wolf | Obstetrics & Gynecology | 3333 Biddle Ave, Suite A, Wyandotte, MI 48192-6284 | 2006-05-10 |
| 1306821228 | David L Wolf | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2005-12-13 |
| 1114909959 | David M. Wolf | Dentist | 37 Birch St, Milford, MA 01757-5501 | 2005-11-17 |
| 1861489874 | David A. Wolf | Optometrist | 15480 Boones Ferry Rd, Lake Oswego, OR 97035-3429 | 2005-10-04 |
| 1376546051 | David Samuel Wolf | Podiatrist | 11515 Chimney Rock Rd, Houston, TX 77035-2905 | 2005-05-24 |
| 1841640950 | David S Wolf | Social Worker | 71 Homecrest Ct, Oceanside, NY 11572-2209 | 2016-06-20 |
| 1952703894 | David Wolf | Physician Assistant | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2014-09-23 |
| Street Address |
205 S FRONT ST STE 907 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1730286444 | Pediatrix Medical Group of Pennsylvania, P.C. | Pediatrics | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-17 |
| 1356372817 | Kimberly Anne Costello | Pediatrics | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-07-05 |
| 1225093248 | Michelle Dawn David-hugues | Pediatrics | 111 S Front St, Nicu, 8th Floor, Harrisburg, PA 17101-2010 | 2006-04-20 |
| 1194789677 | Bernadine Moglia | Pediatrics | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
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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.