Active NPI
Wolf Healthcare PC
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1386673275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0831
- Legal business name
- WOLF HEALTHCARE PC
- Practice address
- 4120 Laurel St
Suite 101
Anchorage, AK 99508 - Phone
- (907) 677-9728
- Fax
- (907) 677-9729
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aron S Wolf, MD
- Title
- President
- Phone
- (907) 677-6636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0831 | AK | Primary |
Addresses
Primary practice location
4120 Laurel St
Suite 101
Anchorage, AK 99508
Mailing address
8133 Sundi Drive
Anchorage, AK 99502
Phone (907) 677-6636
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD08312 | Medicaid | AK | |
| MH8681 | Medicaid | AK | |
| 197687 | Other | VALUE OPTIONS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386673275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8133 SUNDI DRIVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99502",
"telephone_number": "907-677-6636",
"fax_number": "907-245-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 LAUREL ST",
"address_2": "SUITE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-677-9728",
"fax_number": "907-677-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOLF HEALTHCARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "ARON",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-677-6636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "0831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD08312",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH8681",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "197687",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.