FREDERICK GREGORY WOLF (NPI# 1578538443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578538443 |
Entity Type | Individual |
Full Name | FREDERICK GREGORY WOLF |
Credential | M.D. |
Practice Address |
1244 Primacy Pkwy Memphis TN 38119-0201 |
Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
Practice Telephone | 9017678662 |
Practice Fax Number | 9017678666 |
Mailing Telephone | 9017258347 |
Mailing Fax Number | 9012597637 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2019-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 36520 | TN | Allopathic & Osteopathic Physicians |
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
36520 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 7680221 | 05 | |
TN | AETNA | 7951429 | 01 |
TN | BCBS | 4179731 | 01 |
TN | UNITED HEALTHCARE | 00002219069 05 | 01 |
TN | 3371161 | 05 | |
TN | CIGNA | 620819926 | 01 |
TN | AETNA | 620819926 | 01 |
TN | RAILROAD MEDICARE | P00624366 | 01 |
TN | 3874732 | 05 | |
TN | CIGNA | 0995742 | 01 |
MS | 07187860 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3045 Kate Bond Rd, Bartlett, TN 381334004 | 9013814664 | 9013733804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275594061 | Frederick C Wolf | Family Medicine | 2000 S Colorado Blvd, Annex Bldg, Suite 420, Denver, CO 80222-7900 | 2006-03-31 |
Street Address |
1244 PRIMACY PKWY |
City | MEMPHIS |
State | TN |
Zip Code | 38119-0201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982698890 | Judith Rae Lee-sigler | Physical Medicine & Rehabilitation | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2005-09-07 |
1275025223 | Alex Terrill Isom | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2018-06-05 |
1780109009 | William Ray Clark II | Physician Assistant | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2017-08-08 |
1205202504 | Elizabeth N Harris | Physician Assistant | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2015-08-20 |
1659631794 | Emily K Cross | Registered Nurse | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2012-05-23 |
1407122203 | Spencer William Hauser | Orthopaedic Surgery | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2012-03-26 |
1780976142 | Katherine Dianne Draper | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2011-05-04 |
1255584009 | Msk Group, PC | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119 | 2008-10-24 |
1891967147 | Tyler Austin Cannon | Orthopaedic Surgery | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2008-03-27 |
1902028947 | Samuel Ray Schroerlucke | Orthopaedic Surgery | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2007-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
Find all providers in zip 38119 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001163 | Philip M Aronoff | Orthopaedic Surgery | 6286 Briarcrest Ave, Memphis, TN 38120-4078 | 2005-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
1568947059 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 7545 Barnett Way Ste 5, Powell, TN 37849-3565 | 2018-10-01 |
1699281451 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 799 S Willow Ave, Cookeville, TN 38501-5997 | 2017-12-15 |
1942716709 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 820 N Thompson Ln Ste 1h, Murfreesboro, TN 37129-4340 | 2017-12-15 |
1871009639 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1047 Glenbrook Way Ste 110, Hendersonville, TN 37075-1231 | 2017-12-15 |
1235528027 | Jeffrey Barnes | Orthopaedic Surgery | 2209 Raines Ct, Spring Hill, TN 37174-7521 | 2015-01-15 |
1821325424 | West Tennessee Orthopaedics and Sports Medicine, PC | Orthopaedic Surgery | 1003 E Reelfoot Ave., Suite 4, Union City, TN 38261-5871 | 2009-11-03 |
1710154331 | James P Leonard | Orthopaedic Surgery | 1215 21st Avenue, Mce South Tower, Suite 3200, Nashville, TN 37205 | 2008-05-13 |
1588701999 | J W Thomas Byrd | Orthopaedic Surgery | 2004 Hayes St Ste 700, Nashville, TN 37203-5178 | 2007-02-01 |
1811919335 | Lawrence F Schrader | Orthopaedic Surgery | 927 Cordova Station Ave, Cordova, TN 38018-6316 | 2006-07-24 |
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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.