MR. JEFFREY ALAN WOLFF (NPI# 1841701034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841701034 |
Entity Type | Individual |
Full Name | MR. JEFFREY ALAN WOLFF |
Credential | AGAC-NP |
Practice Address |
2065 Edward Ln E Kimball MI 48074-1925 |
Practice Telephone | 5862606154 |
Mailing Telephone | 5862606154 |
Enumeration Date | 2017-10-16 |
Last Update Date | 2018-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704292956 | MI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704292956 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3990 John R St, Detroit, MI 482012018 | 3137458040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376607739 | Jeffrey H. Wolff | Dentist | 5766 Okeechobee Blvd, West Palm Beach, FL 33417-4343 | 2006-12-20 |
1306868104 | Jeffrey Glenn Wolff | Psychiatry & Neurology | 66 Maple Ave, Morristown, NJ 07960-5250 | 2006-07-24 |
1528008059 | Jeffrey Moyer Wolff | Dermatology | 419 W Pittsburgh St, Greensburg, PA 15601-2211 | 2006-06-06 |
Street Address |
2065 EDWARD LN E |
City | KIMBALL |
State | MI |
Zip Code | 48074-1925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811538036 | Marisa Robbi Dunlap | Behavior Technician | 631 Richman, 631 Richman, Smiths Creek, MI 48074 | 2019-09-30 |
1568930501 | Audrey Christine Hollen | Behavior Technician | 4652 Cloverdale Ln, Kimball, MI 48074 | 2018-11-07 |
1366894818 | Gaganjot Sandhu | Student in an Organized Health Care Education/Training Program | 16001 W. Nine Miler Road, Providence-providence Park Hospitals - Southfield, Southfield, MI 48074 | 2016-07-08 |
1912357526 | Ashlee Marie O'shell | Student in an Organized Health Care Education/Training Program | Providence-providence Park Hospitals - Southfield, 16001 W. Nine Mile Road, Southfield, MI 48074 | 2016-06-14 |
1730567371 | Scott J. Ferguson Dds & Associates Pllc | Dentist | 2837 Stable Drive, Ste A, Kimball, MI 48074 | 2015-05-15 |
1629387337 | Tamara Dawn Lynch | Veterinarian | 367 Wadhams Rd, Smiths Creek, MI 48074 | 2010-09-29 |
1932348737 | Lisa Marie Rottman Adamson | Physical Therapy Assistant | 1048 Broad Ax Lane, Kimball, MI 48074 | 2009-02-18 |
1891858742 | Susan Millie Fagan | Dentist | 5281 Lapeer Road, Kimball, MI 48074 | 2006-12-19 |
1982701868 | Home Town Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5277 Lapeer Rd, Kimball, MI 48074 | 2006-09-20 |
1043314347 | Sacred Heart | Substance Abuse Rehabilitation Facility | 1910 Ditty Rd, Kimball, MI 48074 | 2006-09-08 |
Find all providers in zip 48074 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
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.