Ernest Wollin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0008870 Issued in FL

Practice address

1524 Pine Bay Dr
Sarasota, FL 34231-3550

Phone

(941) 349-1868

Fax

(941) 349-9170

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

Northwestern University Feinberg Medical School, 1958

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment Care Compare group NPD
• Rose Radiology Centers, LLC

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Pharmacy
  • Gainesville, FL
  • NPI 1497645915
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1699874248
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1366407553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 PINE BAY DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313550",
            "telephone_number": "941-349-1868",
            "fax_number": "941-349-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 PINE BAY DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313550",
            "telephone_number": "941-349-1868",
            "fax_number": "941-349-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLIN",
        "first_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0008870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261042600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35074",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300129387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahlam N Wolf, PA
• Brian Alexander Wolf, MD
• Michelle Wolf, LMT
• Andrew Martin Wolff, MD
• Cassidy Wolff
• Kari Sue Wollmacher
• Alessa Nicole Wolstenholme
• Women'S Choice Oncology, PLLC
• Aurora Claudine Wong, M.D.
• Keye L Wong, M.D.

• Diagnostic Radiology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.