Ilya Wolfson (NPI# 1942261441, PAC ID# 5294724324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942261441 |
| PAC ID by PECOS | 5294724324 |
| Professional Enrollment ID | I20040512000351 |
| Full Name | Ilya Wolfson |
| Organization Legal Name | ILYA WOLFSON M.D., INC |
| Address |
3995 S Cobb Sedr Smyrna GA 30080-6397 |
| Phone Number | 7704344568 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749331825 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3995 S Cobb Sedr, Smyrna, GA 30080-6397 | 7704344568 | ILYA WOLFSON M.D., INC |
| 3353 Trickum Rd, Suite 201, Woodstock, GA 30188-3694 | 6789231500 | ILYA WOLFSON M.D., INC |
| Organization Legal Name | ILYA WOLFSON M.D., INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeff R. Jean | Nurse Practitioner | Ilya Wolfson M.d., Inc | 3995 S Cobb Sedr, Smyrna, GA 30080-6397 |
| Maria D Bratoeva | Nurse Practitioner | Ilya Wolfson M.d., Inc | 3995 S Cobb Sedr, Smyrna, GA 30080-6397 |
| Street Address |
3995 S COBB SEDR |
| City | SMYRNA |
| State | GA |
| Zip | 30080-6397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeff R. Jean | Nurse Practitioner | Ilya Wolfson M.d., Inc | 3995 S Cobb Sedr, Smyrna, GA 30080-6397 |
| Maria D Bratoeva | Nurse Practitioner | Ilya Wolfson M.d., Inc | 3995 S Cobb Sedr, Smyrna, GA 30080-6397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janeen O Clark | Family Medicine | Wellstar Medical Group, LLC | 4579 S Cobb S E Dr, Suites 300 400, Smyrna, GA 30080 |
| Hima Edupuganti | Internal Medicine | Wellstar Medical Group, LLC | 4579 S Cobb S E Dr, Suites 300 400, Smyrna, GA 30080 |
| Rachel Gallen | Family Medicine | Wellstar Medical Group, LLC | 4579 S Cobb S E Dr, Suites 300 400, Smyrna, GA 30080 |
| Jiyo Shin | Family Medicine | Wellstar Medical Group, LLC | 4579 S Cobb S E Dr, Suites 300 400, Smyrna, GA 30080 |
| Donna Leach | Audiologist | Family Hearing and Speech Center of West Cobb, Inc. | 2430 Atlanta Rd Se, Suite 100, Smyrna, GA 30080-1522 |
| Jean W. Bastia | Nurse Practitioner | 2220 Atlanta Rd Se, Suite 102, Smyrna, GA 30080-1541 | |
| Eric L Brown | Obstetrics/gynecology | 2635 S Cobb Sedr, Smyrna, GA 30080-1845 | |
| Nathan H Schwartz | Podiatry | 861 Windy Hill Rd Se, Smyrna, GA 30080-1903 | |
| Marc W Ugell | Chiropractic | 1995 Windy Hill Rd, Suite 7, Smyrna, GA 30080-2273 | |
| Lucas Drew Southerland | Chiropractic | Parkerson Chiropractic Clinic Inc | 2424 Herodian Way, Smyrna, GA 30080-2904 |
| Find all physicians in zip 30080 | |||
| City | SMYRNA |
| Zip Code | 30080 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SMYRNA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ilya Wolfson.
| 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.