Jennifer Rae Wolf, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20296 Issued in OK

Practice address

9659 Riverside Pkwy
Tulsa, OK 74137-7398

Phone

(189) 299-5040

Fax

(918) 299-9041

NPI assigned

Jul 5, 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Empower Pediatrics

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1407390115
  NPD
• Ahs Oklahoma Physician Group, LLC

  • Rural Health Clinic/Center
  • Cushing, OK
  • NPI 1922683051
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1891726105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377398",
            "telephone_number": "918-299-5040",
            "fax_number": "918-299-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9659 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377398",
            "telephone_number": "189-299-5040",
            "fax_number": "918-299-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "20296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103220B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Konrad Wojcik, MD
• Tamara Keisha Woleston, M.D.
• Melanie Michele Wolf-Burke, BA
• Catherine Elisabeth Wolf
• Curtis V Wolf II, MD
• Joseph E Wolf, D.O.
• Adrianne Wolfe, PA-C
• Baylee Wolfe
• Chantel Lynn Wolfe, MPT
• James J. Wolfe, MD

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.