DR. STEPHEN MARK WOLCHOK (NPI# 1740324102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740324102 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MARK WOLCHOK |
| Credential | M.D. |
| Practice Address |
3636 University Blvd S A2 Jacksonville FL 32216-4250 |
| Practice Telephone | 9047390606 |
| Mailing Telephone | 9047390606 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME97993 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME97993 | 01 |
| FL | RAILROAD MEDICARE | P00428440 | 01 |
| Street Address |
3636 UNIVERSITY BLVD S A2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016987 | Samuel D Kulick | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2005-07-13 |
| 1902458722 | Covenant Home Health Care 4, LLC | Home Health | 3636 University Blvd S, Jacksonville, FL 32216-4250 | 2019-07-11 |
| 1801379409 | Bellavista Dermatology Group LLC | Dermatology | 3636 University Blvd S, Unit B2, Jacksonville, FL 32216 | 2018-09-10 |
| 1639528532 | Precision Eyewear of Wolchok Eye, LLC | Eyewear Supplier (Equipment, not the service) | 3636 University Blvd S, Suite A2, Jacksonville, FL 32216-4250 | 2016-06-10 |
| 1619371465 | Swapnilkumar P Patel | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2014-10-22 |
| 1780958314 | Indian Rehabilitation Center, Inc | Clinic/Center | 3636 University Blvd S, Ste A7, Jacksonville, FL 32216-4250 | 2012-02-29 |
| 1689942302 | Adler Podiatry Clinic Pllc | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2011-12-08 |
| 1255567301 | Adler Podiatry and Wound Care LLC | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2009-06-03 |
| 1356503007 | Osvaldo Contarini Md Pa | Surgery | 3636 University Blvd S, Bldg B, Jacksonville, FL 32216-4250 | 2008-06-25 |
| 1558491258 | Myron F Mass Md Pa | Allergy & Immunology | 3636 University Blvd S, Suite B-2, Jacksonville, FL 32216-4250 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216729 | Kumar Sambhav | Ophthalmology | 580 W 8th Street, Tower - II, 3rd Floor, Department of Ophthalmology, Jacksonville, FL 32209 | 2017-03-22 |
| 1306227335 | Sepehr Bahadorani | Ophthalmology | 580 W 8th St Fl Towerii3, Uf College of Medicine - Jacksonville, Jacksonville, FL 32209-6533 | 2015-06-16 |
| 1467854240 | Mohammed Ali Tawfik Alyouzbaki | Ophthalmology | 6054 Wateredge Drive South, Jacksonville, FL 32211 | 2014-09-23 |
| 1841580214 | Chad Michael Kaplan | Ophthalmology | 653 West 8th St, Jacksonville, FL 32209 | 2011-04-19 |
| 1730479650 | Abdallah Mohamed Jeroudi | Ophthalmology | 2639 Oak St, Jacksonville, FL 32204 | 2011-04-12 |
| 1881915619 | Omar Gayasaddin | Ophthalmology | 7051 Southpoint Pkwy S Fl 3, Jacksonville, FL 32216-8713 | 2010-06-16 |
| 1952630121 | Ralph Alphonse Sawyer | Ophthalmology | 10061 Lakes End Ct, Jacksonville, FL 32256-4112 | 2009-12-16 |
| 1326193020 | Midwest Eye Associates, LLC | Ophthalmology | 1122 Veterans Dr, Suite B, Jacksonville, IL 62650-4032 | 2007-01-24 |
| 1023118379 | Jeffrey Herschel Levenson | Ophthalmology | 751 Oak St Ste 200, Jacksonville, FL 32204-3361 | 2006-09-25 |
| 1942317680 | Gerard A. Coluccelli | Ophthalmology | 931 Brookwood Rd, Jacksonville, FL 32207-4211 | 2006-08-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.