DR. KEVIN JAY WOLF (NPI# 1487712824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487712824 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JAY WOLF |
| Credential | DPM |
| Practice Address |
407 N. Herman St Goldsboro NC 27530 |
| Practice Telephone | 9195839788 |
| Practice Fax Number | 9195839790 |
| Mailing Telephone | 9195839788 |
| Mailing Fax Number | 9195839790 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 357 | NC | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
357 | NC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
357 | NC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
357 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0818H | 01 |
| NC | 890818H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285071233 | Kevin Paul Wolf | Family Medicine | 12420 Warwick Blvd Bldg 3, Riverside Internal Medicine, Newport News, VA 23606-3001 | 2013-05-31 |
| 1457844094 | Kevin Thomas Wolf | Dentist | 7124 W Diversey Ave, Chicago, IL 60707-1601 | 2018-06-08 |
| 1770996670 | Kevin Andrew Wolf | Physical Therapist | 8051 Washington Village Dr, Centerville, OH 45458-1885 | 2014-06-09 |
| 1699013110 | Kevin Herbert Wolf | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2013-01-17 |
| 1568425213 | Kevin M Wolf | Emergency Medical Technician, Basic | 5002 Crossing Circle, Mt. Juliet, TN 37122 | 2006-04-11 |
| Street Address |
407 N. HERMAN ST |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126223 | King Podiatry and Associates Pllc | Podiatrist | 5116 N Croatan Hwy, Kitty Hawk, NC 27949-3988 | 2020-08-27 |
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1255773222 | Jacob A Panici | Podiatrist | 103 Parkway Office Ct Ste 100, Cary, NC 27518-7429 | 2013-07-19 |
| 1881038453 | Cardinal Podiatry, P.C. | Podiatrist | 1852 Banking St # 9043, Greensboro, NC 27408-7222 | 2013-04-25 |
| 1891007639 | Tori N Simmons Lewis | Podiatrist | 10370 Park Rd Ste 100, Charlotte, NC 28210-8509 | 2010-07-09 |
| 1437316361 | Paul J Keane Dpm | Podiatrist | 506 S Sutherland Ave, Monroe, NC 28112-5061 | 2008-05-19 |
| 1568542181 | Robert Charles Wingate | Podiatrist | 1050 South Peace Haven Road, Winston Salem, NC 27103-9788 | 2006-10-17 |
| 1275630295 | Chukwuma Ukata | Podiatrist | 516 Village Ct, Garner, NC 27529-3600 | 2006-09-20 |
| 1992810717 | Kevin C Mcdonald | Podiatrist | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | 2006-08-20 |
| 1568484749 | Jennifer H Purvis | Podiatrist | 3301 Sunset Ave, Rocky Mount, NC 27804-3521 | 2006-07-24 |
| 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.