Jack M Wolfson, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

3761 Issued in AZ

Practice address

6560 N Scottsdale Rd
Suite 125
Paradise Valley, AZ 85253

Phone

(480) 535-6844

Fax

(480) 535-6845

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 7, 2016 through Jul 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Cardiovascular Consultants LTD

  • Medical Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1023073525
  NPD (past)
• VHS of Arrowhead Inc

  • Cardiovascular Disease Physician
  • Glendale, AZ
  • NPI 1326231903
  NPD (past)
• VHS of Phoenix Inc

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1659565927
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1467458000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 N SCOTTSDALE RD",
            "address_2": "SUITE 125",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-535-6844",
            "fax_number": "480-535-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 N SCOTTSDALE RD",
            "address_2": "SUITE 125",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-535-6844",
            "fax_number": "480-535-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "JACK",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "3761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z6403",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060068481",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "25-01062",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690257",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0714780",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burton E Weissman, MD
• Leslie A Welk, M.D.
• Wellride Transportation LLC
• West Coast Cardiology
• Henry Richard Wienke, M.D.
• Susan Larae Wood, DDS
• Pagona Xenos, L.M.T.
• Yousif Abdullah Yonan, M.D.
• Vitaliy Zhivotenko, D.O.

• Cardiovascular Disease Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.