Ann Wolak, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002283 Issued in NY

Practice address

14 Kennedy Parkway
Cortland, NY 13045-1435

Phone

(607) 756-9941

Fax

(607) 756-2907

NPI assigned

Jul 13, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1497770093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KENNEDY PARKWAY",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451435",
            "telephone_number": "607-756-9941",
            "fax_number": "607-753-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KENNEDY PARKWAY",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451435",
            "telephone_number": "607-756-9941",
            "fax_number": "607-756-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLAK",
        "first_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Wilson, RN, FNP
• Deborah S Wines
• David D Wirtz, MD
• Abigail A Withers, MSW
• Shane E Witt, RN
• Lynn T. Wolfson, CRC, SC
• Darcie Jonell Wood Lindley, PT, DPT
• Jamison Robert Wood, LMSW, CASAC
• Kellie Ann Wood, PTA
• Patricia S. Wood I, LMHC

• Physician Assistant in Cortland, NY
• Providers in Cortland, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.