MS. SUZANNE SAGUES WOLF


Address: 1325 San Marco Blvd Ste 200, Credentialing Department, Jacksonville, FL 32207-8566
Phone: 9043463465

MS. SUZANNE SAGUES WOLF (NPI# 1376877068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376877068
Entity Type Individual
Full Name MS. SUZANNE SAGUES WOLF
Other Name SUZANNE MARIE SAGUES
Credential PA
Practice Address 1325 San Marco Blvd Ste 200
Credentialing Department
Jacksonville
FL 32207-8566
Mailing Address 1325 San Marco Blvd
Suite 200
Jacksonville
FL 32207-8568
Practice Telephone 9043463465
Practice Fax Number 9043960388
Mailing Telephone 9043463465
Mailing Fax Number 9043960388
Enumeration Date 2009-09-28
Last Update Date 2016-02-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9107107 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL RAILROAD MEDICARE P01179691 01
FL 008374800 05

Other Providers SUZANNE WOLF

NPI Name Taxonomy Address Enumeration
1174509632 Suzanne Wolf Nurse Practitioner Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 2005-12-16
1235577263 Suzanne Marie Wolf Family Medicine 1650 Cochrane Cir, Colorado Springs, CO 80913-4604 2013-06-12
1710086137 Suzanne Wolf Nurse Practitioner 1051 West Ave, Rice Lake, WI 54868-2299 2006-09-22
1053345090 Suzanne Oko Wolf Nurse Practitioner 421 N Main St, Leeds, MA 01053-9764 2006-07-10

Office Location

Street Address 1325 SAN MARCO BLVD STE 200
CREDENTIALING DEPARTMENT
City JACKSONVILLE
State FL
Zip Code 32207-8566

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447252655 Steven Mccarthy Crenshaw Orthopaedic Surgery 1325 San Marco Blvd Ste 200, Credentialing Department, Jacksonville, FL 32207-8566 2005-06-01
1992355887 Zachary Cole White Physician Assistant 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-09-12
1649825639 Tristyn Kinser Specialist/Technologist 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-08-06
1194379578 Cesar Enrique Roman-negron Specialist/Technologist 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-07-24
1023578895 James Martin Duross Iv Nurse Practitioner 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-03-20
1457819146 Justin T Juelich Physician Assistant 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-03-12
1629535307 Courtney C Calcote Physician Assistant 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-02-28
1003389925 Savannah Faulk Physical Therapist 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2019-01-03
1497223093 Victoria C. Pursley Nurse Practitioner 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2018-11-13
1679096424 Kellie Marie Holloway Physician Assistant 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 2017-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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