TIMOTHY GERRARD WOODALL (NPI# 1114902269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114902269 |
| Entity Type | Individual |
| Full Name | TIMOTHY GERRARD WOODALL |
| Credential | MD |
| Practice Address |
1563 Healthcare Dr Rock Hill SC 29732 |
| Practice Telephone | 8033296030 |
| Practice Fax Number | 8033296035 |
| Mailing Telephone | 8033296030 |
| Mailing Fax Number | 8033296035 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
22243 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE PIN | P00162061 | 01 |
| SC | RAILROAD MEDICARE | DC3336 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609837400 | Timothy Marvin Woodall | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305 | 2006-03-31 |
| Street Address |
1563 HEALTHCARE DR |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730165465 | Richard Eric White | Dermatology | 1563 Healthcare Dr, Rock Hill, SC 29732-3858 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467016600 | Marcus Hutchison | Dermatology | 688 Albright Rd Ste 101, Rock Hill, SC 29730-6290 | 2019-04-23 |
| 1992726269 | The Palmetto Skin and Laser Center LLC | Dermatology | 1563 Health Care Dr, Rock Hill, SC 29732-3858 | 2006-07-22 |
| 1730165465 | Richard Eric White | Dermatology | 1563 Healthcare Dr, Rock Hill, SC 29732-3858 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841511623 | Susan Fellows Vanepps | Dermatology | 8590 San Marcello Dr, #101, Myrtle Beach, SC 29579-5281 | 2010-06-16 |
| 1639164528 | John Michael Humeniuk | Dermatology | 21 Memorial Medical Dr, Greenville, SC 29605-4407 | 2005-09-16 |
| 1346330271 | Paul L Ross | Dermatology | 109 Bee St, Charleston, SC 29401-5703 | 2006-10-13 |
| 1912950775 | Rogers Dermatology, Pa | Dermatology | 3b Cleveland Ct, Greenville, SC 29607-2414 | 2006-05-19 |
| 1528048139 | Edward George Butler II | Dermatology | 109 Bee St, Charleston, SC 29401-5703 | 2006-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.