Individual provider Active NPI

Jonathon Curtis Wolf, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Meridian, ID
National Provider Identifier
1245483031
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
M-12944 Issued in ID
Practice address
875 S Vanguard Way Ste 200B
Meridian, ID 83642-8540
Phone
(208) 563-0001
Fax
(208) 563-0777
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-12944 ID
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X M-12944 ID Primary

Addresses

Primary practice location

875 S Vanguard Way Ste 200B
Meridian, ID 83642-8540

Mailing address

875 S Vanguard Way Ste 200B
Meridian, ID 83642-8540
Phone (208) 563-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathon.wolf@sal.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923001727 ID Practitioner - Orthopedic Surgery 2668605825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathon C Wolf MD PLLCGroup PAC ID 4284179623, 2 clinicians

Practice addresses (Care Compare)

875 S Vanguard Way
Suite 200B
Meridian, ID 83642-8540
Phone (208) 563-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue40
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 15, 2024 Accepting new patients
Jonathon C Wolf MD PLLC Orthopaedic Surgery CurrentSince May 13, 2024 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince May 1, 2020 Accepting new patients
Richard Lochhead MD PLLC PastSince Jul 1, 2015 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600

875 S Vanguard Way
Ste 200
Meridian, ID 83642
Phone (208) 298-9949

875 S Vanguard Way
Ste 200B
Meridian, ID 83642
Phone (208) 563-0001

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

9850 W St Lukes Dr
Ste 215
Nampa, ID 83687
Phone (208) 489-1983

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

Interoperability endpoints

  • Direct secure messaging: jonathon.wolf.1@31256.direct.athenahealth.com
  • Direct secure messaging: jonathon.wolf@1488.chartlogic.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1245483031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 200B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428540",
            "telephone_number": "208-563-0001",
            "fax_number": "208-563-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 200B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428540",
            "telephone_number": "208-563-0001",
            "fax_number": "208-563-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JONATHON",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-12944",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "ID",
            "license": "M-12944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathon.wolf@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "875 S Vanguard Way Ste 200",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836427552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.