RICHARD A. WOLF (NPI# 1962440552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962440552 |
Entity Type | Individual |
Full Name | RICHARD A. WOLF |
Credential | M.D. |
Practice Address |
3020 Saint Johns Blvd Suite A Joplin MO 64804-1564 |
Practice Telephone | 4177815387 |
Practice Fax Number | 4177817174 |
Mailing Telephone | 4177815387 |
Mailing Fax Number | 4177817174 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2012-02-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2004012779 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 209012806 | 05 | |
OK | 200033360A | 05 | |
KS | 200264800D | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376049361 | Richard Eugene Wolf Jr. | Private Vehicle | 18857 Curtis Blacktop Rd, Petersburg, IL 62675-7013 | 2018-03-30 |
1053865147 | Richard Wolf | Dentist | 8150 T N Skiles Rd, Ponder, TX 76259-5854 | 2016-08-07 |
1770964058 | Richard Wolf Jr. | Social Worker | 240 Skyline Dr, Coram, NY 11727-3618 | 2015-06-12 |
1003906447 | Richard Jay Wolf | Chiropractor | 1795 Springfield Ave, Maplewood, NJ 07040 | 2006-10-14 |
1336645464 | Richard A Wolf II | Nurse Practitioner | 2370 Drew St Ste B, Clearwater, FL 33765-3318 | 2018-04-05 |
1285739177 | Richard M Wolf | Urology | 611 W. Park St., Urology, Urbana, IL 61801 | 2006-09-14 |
1891713079 | Richard Neal Wolf | Internal Medicine | 12264 El Camino Real, Suite 204, San Diego, CA 92130-3058 | 2006-07-17 |
1497713846 | Richard Brian Wolf | Obstetrics & Gynecology | 200 W Arbor Dr, Repro Med, #8433, San Diego, CA 92103-9000 | 2006-05-03 |
Street Address |
3020 SAINT JOHNS BLVD SUITE A |
City | JOPLIN |
State | MO |
Zip Code | 64804-1564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942493549 | Toufic Tony Saad | Internal Medicine | 3020 Saint Johns Blvd, Ste B, Joplin, MO 64804-1564 | 2007-08-27 |
1740487552 | Danny T Liu | Surgery | 3020 Saint Johns Blvd, Ste F, Joplin, MO 64804-1564 | 2007-06-27 |
1790992261 | Kenneth Leroy Watts | Surgery | 3020 Saint Johns Blvd, Suite F, Joplin, MO 64804-1564 | 2007-05-16 |
1386720878 | Catherine Elizabeth Chatal | Plastic Surgery | 3020 Saint Johns Blvd, Suite D, Joplin, MO 64804-1564 | 2006-10-27 |
1508807512 | Shawn W Sabapathy | Internal Medicine | 3020 Saint Johns Blvd, Suite A, Joplin, MO 64804-1564 | 2006-06-09 |
1891736815 | Thomas B. Moore | Internal Medicine | 3020 Saint Johns Blvd, Ste A, Joplin, MO 64804-1564 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
Find all providers in zip 64804 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285945295 | Byungsoo Ko | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2010-06-24 |
1689600850 | Jose C De Hoyos | Internal Medicine | 100 Mercy Way, Ste 320-330, Joplin, MO 64804-4524 | 2006-06-22 |
1043253693 | James G. Hoff | Internal Medicine | 100 Mercy Way, Suite 320-330, Joplin, MO 64804-4524 | 2006-06-13 |
1831130020 | William Randy Craig | Internal Medicine | 100 Mercy Way, Suite 320-330, Joplin, MO 64804-4524 | 2006-06-09 |
1508807512 | Shawn W Sabapathy | Internal Medicine | 3020 Saint Johns Blvd, Suite A, Joplin, MO 64804-1564 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275032286 | Cardiac Cin of Kansas City LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2018-02-05 |
1437658440 | Cardiac Cin of St Louis LLC | Internal Medicine | 11628 Old Ballas Rd # 346, Saint Louis, MO 63141-7030 | 2018-02-05 |
1629366984 | Jorge Marcelo Ramirez Romero | Internal Medicine | 1402 S. Grand, Fdt 14th Floor, St. Louis, MO 63104 | 2011-07-20 |
1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
1033370358 | Shamail S. Tariq | Internal Medicine | 1071 Airport Rd, Festus, MO 63028-4103 | 2008-06-19 |
1104083351 | Cardiovascular Institute of Jacksonville P A | Internal Medicine | 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930 | 2008-05-16 |
1053401422 | Gus Theodos | Internal Medicine | 710 S Price Rd, Saint Louis, MO 63124-1867 | 2006-10-13 |
1225134117 | William R Reilly Inc | Internal Medicine | 450 N. New Ballas Rd, Ste 170w, St. Louis, MO 63141-6835 | 2006-09-16 |
1881799336 | Morton R. Rinder | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2006-09-13 |
1902834625 | Skaggs Community Hospital Association | Internal Medicine | 1150 State Hwy 248, Branson, MO 65616-2075 | 2006-06-29 |
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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.