Active NPI
Aron S Wolf, MD
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1508058686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0831
- Practice address
- 4120 Laurel St
Anchorage, AK 99508-5392 - Phone
- (907) 677-9728
- Fax
- (907) 677-9729
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0831 | AK | Primary |
Addresses
Primary practice location
4120 Laurel St
Anchorage, AK 99508-5392
Mailing address
8133 Sundi Dr
Anchorage, AK 99502-4198
Phone (907) 243-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD08312 | Medicaid | AK |
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 |
|---|---|---|---|
| 0831 | AK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Providence Health & Services - Washington | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- aronwolf@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1508058686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8133 SUNDI DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995024198",
"telephone_number": "907-243-4747",
"fax_number": "907-245-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 LAUREL ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085392",
"telephone_number": "907-677-9728",
"fax_number": "907-677-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ARON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "0831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD08312",
"state": "AK"
}
],
"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 13, 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.