Jonathan C Wolf (NPI# 1245483031, PAC ID# 2668605825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1245483031 |
| PAC ID by PECOS | 2668605825 |
| Professional Enrollment ID | I20150923001727 |
| Full Name | Jonathan C Wolf |
| Organization Legal Name | ORTHOPEDIC AND FRACTURE CLINIC PA |
| Address |
206 E Elm St Caldwell ID 83605-4815 |
| Phone Number | 2084594511 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7810800398 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130014 | WEST VALLEY MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 206 E Elm St, Caldwell, ID 83605-4815 | 2084594511 | ORTHOPEDIC AND FRACTURE CLINIC PA |
| 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2084594511 | ORTHOPEDIC AND FRACTURE CLINIC PA |
| Organization Legal Name | ORTHOPEDIC AND FRACTURE CLINIC PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hodaka P Abe | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Eric C Moss | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Robert G Hansen | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| George A Nicola | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Craig Jamison | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| John Q Smith | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Bryce R Wikfors | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Michael T Daines | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Street Address |
206 E ELM ST |
| City | CALDWELL |
| State | ID |
| Zip | 83605-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hodaka P Abe | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Eric C Moss | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Robert G Hansen | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| George A Nicola | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Craig Jamison | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| John Q Smith | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Bryce R Wikfors | Physician Assistant | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Michael T Daines | Orthopedic Surgery | Orthopedic and Fracture Clinic Pa | 206 E Elm St, Caldwell, ID 83605-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Dorian Larsen | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Elizabeth A Britain | Certified Nurse Midwife (cnm) | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Sara L Helmer | Clinical Social Worker | 107 S Kimball Ave, Suite 225, Caldwell, ID 83605-3735 | |
| Melanie E Sittig | Clinical Social Worker | 524 Cleveland Blvd, Suite 227, Caldwell, ID 83605-4080 | |
| Amy K Jeppesen | Clinical Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Timothy Hodges | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Brenton Noel | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Rylan Chan | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in zip 83605 | |||
| City | CALDWELL |
| Zip Code | 83605 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CALDWELL + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jonathan C Wolf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.