JUDITH K. WOLF (NPI# 1790878726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790878726 |
| Entity Type | Individual |
| Full Name | JUDITH K. WOLF |
| Credential | M.D. |
| Practice Address |
2940 E Banner Gateway Dr Suite 450 Gilbert AZ 85234-2168 |
| Practice Telephone | 4802563609 |
| Mailing Telephone | 4802563609 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
01074549A | IN | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
H4856 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR | P01824838 | 01 |
| IN | 300001068 | 05 | |
| TX | 41320501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7979 N Shadeland Ave Ste 310, Indianapolis, IN 462502042 | 3176213780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003125857 | Judith Wolf | Social Worker | 15 Maynard Rd, Northampton, MA 01060-2809 | 2010-09-28 |
| 1952622375 | Judith Wolf | Registered Nurse | 101 S Loder Ave, Endicott, NY 13760-4810 | 2010-06-21 |
| 1972554624 | Judith E Wolf | Internal Medicine | 219 N Broad St, 5th Floor, Philadelphia, PA 19107-1519 | 2006-05-15 |
| Street Address |
2940 E BANNER GATEWAY DR SUITE 450 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957556 | Beth Erickson Foley | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2005-07-29 |
| 1477090801 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 2940 E Banner Gateway Dr, Suite 350, Gilbert, AZ 85234-2168 | 2017-01-24 |
| 1306203674 | Jennifer Gomez | Physician Assistant | 2940 E Banner Gateway Dr, Gilbert, AZ 85234-2168 | 2016-01-18 |
| 1679941835 | Rebecca Luiten | Genetic Counselor, MS | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 | 2015-09-04 |
| 1497156640 | Jason Theodore Trulson | Physician Assistant | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2014-09-08 |
| 1336561828 | Kathleen M Forgy | Nurse Practitioner | 2940 E Banner Gateway Dr, Gilbert, AZ 85234 | 2014-01-17 |
| 1114357555 | Jennifer Gray | Clinical Nurse Specialist | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-11-21 |
| 1992130991 | Laura Mount | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2013-09-09 |
| 1063855088 | Osna Primary Care, LLC | Family Medicine | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-04-09 |
| 1265771588 | Athena Turnage | Physical Therapist | 2940 E Banner Gateway Dr, Suite 425, Gilbert, AZ 85234-2168 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891959862 | Amy Dawn Brockmeyer | Obstetrics & Gynecology | 2949 E Banner Gateway Drive, Gilbert, AZ 85234 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1679635981 | Leon A. Asadourian | Obstetrics & Gynecology | 36431 N Peaceful Place, Carefree, AZ 85377 | 2006-12-14 |
| 1972613727 | Shana Nicolle Wingo | Obstetrics & Gynecology | 19646 N 27th Ave Ste 403, Phoenix, AZ 85027-4028 | 2006-08-30 |
| 1447229802 | Alton Venson Hallum | Obstetrics & Gynecology | 1845 W Orange Grove Rd, Bldg 2, Tucson, AZ 85704 | 2006-03-16 |
| 1891764502 | Joseph Buscema | Obstetrics & Gynecology | 603 N Wilmot Rd Ste 151, Tucson, AZ 85711-2701 | 2006-03-15 |
| 1639171754 | Mike Franz Janicek | Obstetrics & Gynecology | 10197 N 92nd St, Suite 101, Scottsdale, AZ 85258-4560 | 2005-08-10 |
| 1114183977 | Ivor Benjamin | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2008-07-31 |
| 1033373139 | Heather Dalton | Obstetrics & Gynecology | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2008-07-17 |
| 1912167313 | Vanna L Zanagnolo | Obstetrics & Gynecology | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2008-06-10 |
| 1174731046 | Sayeema Daudi | Obstetrics & Gynecology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-05-21 |
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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.