ERIC L. WOOLLEY (NPI# 1205230414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205230414 |
| Entity Type | Individual |
| Full Name | ERIC L. WOOLLEY |
| Other Name | ERIC WOOLLEY |
| Practice Address |
506 1st Ave Se Watertown SD 57201 |
| Mailing Address |
506 1st Ave Se Watertown SD 57201-4499 |
| Practice Telephone | 6058868482 |
| Practice Fax Number | 6058844300 |
| Mailing Telephone | 6058868482 |
| Mailing Fax Number | 6058844300 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
234 | SD | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043231749 | Eric Brady Woolley | Emergency Medicine | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2006-07-21 |
| Street Address |
506 1ST AVE SE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522732 | Brown Pharmacy LLC | Pharmacy | 506 1st Ave Se, Watertown, SD 57201-4402 | 2005-10-18 |
| 1831709369 | Heidi Maurine Barber | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-08-10 |
| 1497363113 | Allison Judeen Decurtins | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-07-20 |
| 1457903833 | Abby Lynne Simon | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-15 |
| 1699327262 | Rachel Leiseth | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-12 |
| 1336617604 | Jennifer Guest | Health Educator | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-05 |
| 1184192650 | Kristina R Boetel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-02 |
| 1942775713 | Rebekah Ruth Storm | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-10-09 |
| 1205225661 | Abby M Gietzen | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4402 | 2015-01-22 |
| 1689957565 | Lindsey Anne Barthel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2011-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447514278 | Andrew Reilly Majak | Podiatrist | 513 Washington St 2, Watertown, NY 13601-3672 | 2012-06-26 |
| 1679599633 | Scott E Torness | Podiatrist | 506 1st Ave Se, Watertown, SD 57201-4402 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013256106 | S F Foot Specialist, Pllc | Podiatrist | 3900 W 41st Street, Sioux Falls, SD 57106-0715 | 2013-02-08 |
| 1508093147 | Sacred Heart Health Services | Podiatrist | 409 Summit St Ste 2600, Yankton, SD 57078-3746 | 2009-06-22 |
| 1699900308 | Mid Dakota Podiatry | Podiatrist | 2410 N Main St # 1149, Mitchell, SD 57301-5037 | 2009-05-26 |
| 1912973603 | Todd N Smith | Podiatrist | Pine Ridge Ihs Hospital, Pine Ridge, SD 57770-1201 | 2006-02-23 |
| 1558342766 | Gabriel Rodriguez | Podiatrist | 3900 W 41st St, Sioux Falls, SD 57106-0715 | 2005-11-07 |
| 1033113832 | Dan P Conrad | Podiatrist | 3641 Sturgis Rd, Rapid City, SD 57702-0321 | 2005-06-09 |
| 1841651825 | Tyler Richard Harrell | Podiatrist | 400 22nd Ave, Brookings, SD 57006-2450 | 2016-03-17 |
| 1861874075 | Darrel Richards | Podiatrist | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2015-06-24 |
| 1124437595 | Ruth Ranum Moen | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 | 2014-08-10 |
| 1285074997 | David Rettedal | Podiatrist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2013-06-26 |
| Find all providers with the same taxonomy | ||||
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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.