Active NPI
Steven Wolf, MD
- Anesthesiology Physician
- Spokane, WA
National Provider Identifier
1295741148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 19760
- Practice address
- 104 West 5TH Ave
Suite 230E
Spokane, WA 99204-2483 - Phone
- (509) 838-8561
- Fax
- (509) 835-4058
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 19760 | WA | Primary |
Addresses
Primary practice location
104 West 5TH Ave
Suite 230E
Spokane, WA 99204-2483
Mailing address
104 West 5TH Ave
Suite 230E
Spokane, WA 99204-2483
Phone (509) 838-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8318404 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19760 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Anesthesia Group PS | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1295741148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WEST 5TH AVE",
"address_2": "SUITE 230E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042483",
"telephone_number": "509-838-8828",
"fax_number": "509-835-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WEST 5TH AVE",
"address_2": "SUITE 230E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042483",
"telephone_number": "509-838-8561",
"fax_number": "509-835-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "19760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8318404",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.