DEVON WOOLFOLK (NPI# 1366811416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366811416 |
| Entity Type | Individual |
| Full Name | DEVON WOOLFOLK |
| Credential | PA-C |
| Practice Address |
239 S Mountain Blvd Suite 100 Mountain Top PA 18707-1911 |
| Mailing Address |
610 Wyoming Ave Kingston PA 18704-3702 |
| Practice Telephone | 5707157950 |
| Practice Fax Number | 5704740962 |
| Mailing Telephone | 5702885441 |
| Mailing Fax Number | 5702885842 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057824 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
239 S MOUNTAIN BLVD SUITE 100 |
| City | MOUNTAIN TOP |
| State | PA |
| Zip Code | 18707-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003825506 | Daniel John Dudrick | Family Medicine | 239 S Mountain Blvd, Suite 100, Mountain Top, PA 18707-1911 | 2006-08-05 |
| 1477817732 | Krista Kutney | Podiatrist | 239 S Mountain Blvd, Suite 600, Mountain Top, PA 18707-1911 | 2012-07-01 |
| 1578674206 | Michael Anthony Moclock | Family Medicine | 239 S Mountain Blvd, Suite 600, Mountain Top, PA 18707-1911 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953994 | Geisinger Wyoming Valley Medical Center | General Acute Care Hospital | 35 South Mountain Blvd, Mountain Top, PA 18707 | 2015-09-30 |
| 1003152190 | Patrick J Connors | Chiropractor | 124 N Mountain Blvd, Mountain Top, PA 18707 | 2012-12-18 |
| 1053674234 | Alexanne Kennedy Conklin | Speech-Language Pathologist | 185 South Mountain Blvd, Mountain Top, PA 18707 | 2012-06-21 |
| 1639440605 | Anne L Cox | Social Worker | 359 S.mountaintop Boulevard, Suite C-2, Mountaintop, PA 18707 | 2012-01-23 |
| 1538445218 | Geisinger Clinic | Pediatrics | 35 S. Mountain Blvd, Mountain Top, PA 18707 | 2011-10-26 |
| 1073665790 | Carmen Ardo | Psychologist | Confidential Counseling, 359 South Mountain Blvd. Suite C-2, Mountaintop, PA 18707 | 2007-01-16 |
| 1396892592 | Maureen Ann Jesikiewicz | Pharmacist | Triangle Pharmay 89 S Main St Mountaintop Pa 18707, Mountaintop, PA 18707 | 2007-01-03 |
| 1467517474 | James Joseph Johns Dds Jr. | Dentist | 151 South Mountain Blvd, Mountain Top, PA 18707 | 2006-12-27 |
| 1467547208 | Penn Neurology and Psychiatry Associates, PC | Psychiatry & Neurology | 10 1/2 South Mountain Boulevard, Mountain Top, PA 18707 | 2006-10-04 |
| 1154438752 | William Dietweiler Ziegler IIi | Dentist | 313 S Mountain Blvd, Mountaintop, PA 18707 | 2006-08-23 |
| Find all providers in zip 18707 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801062641 | Jean A Torello-denion | Physician Assistant | 229 S Mountain Blvd, Mountain Top, PA 18707-1911 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN TOP |
| Zip Code | 18707 |
Please comment or provide details below to improve the information on DEVON WOOLFOLK.
| 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.