JESSE C WOODALL JR. (NPI# 1437191400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437191400 |
Entity Type | Individual |
Full Name | JESSE C WOODALL JR. |
Credential | M.D. |
Practice Address |
6570 Stage Rd Suite 160 Memphis TN 38134-2862 |
Mailing Address |
Po Box 2153 Dept 1868 Birmingham AL 35287-1868 |
Practice Telephone | 9013724418 |
Practice Fax Number | 9013834854 |
Mailing Telephone | 9013724418 |
Mailing Fax Number | 9013834854 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2011-11-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | MD5115 | TN | Allopathic & Osteopathic Physicians |
Street Address |
6570 STAGE RD SUITE 160 |
City | MEMPHIS |
State | TN |
Zip Code | 38134-2862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053791616 | Amber Elizabeth Adams | Nurse Practitioner | 6570 Stage Rd, Suite 202, Memphis, TN 38134-2839 | 2015-06-08 |
1326076803 | John B Rada IIi | Obstetrics & Gynecology | 6570 Stage Rd, Suite 160, Memphis, TN 38134-2862 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
Find all providers in zip 38134 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043860448 | 901 Health, Pllc | Obstetrics & Gynecology | 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 | 2019-09-17 |
1669860557 | Midsouth Healthcare Management | Obstetrics & Gynecology | 3249 W Sarazens Cir, Memphis, TN 38125-0807 | 2014-12-31 |
1104269745 | Abigail Y. Talbot | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 | 2013-04-13 |
1972863165 | Robin Morehead Taylor | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 | 2012-05-21 |
1417121013 | Dominique M Butawan-ali | Obstetrics & Gynecology | 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 | 2008-04-15 |
1972782670 | Ob Gyn Centers of Memphis,mpllc | Obstetrics & Gynecology | 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 | 2007-10-30 |
1699963249 | Stephen Eguabor Ehiremen | Obstetrics & Gynecology | 2900 Kirby Rd Ste 11, Memphis, TN 38119 | 2007-10-09 |
1902013238 | Carlos Zavala | Obstetrics & Gynecology | 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 | 2007-05-17 |
1578775359 | Laura B Haskins | Obstetrics & Gynecology | 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 | 2007-05-04 |
1598892325 | Memphis Midsouth Obgyn Alliance P.C. | Obstetrics & Gynecology | 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 | 2007-02-28 |
Find all providers in MEMPHIS |
Please comment or provide details below to improve the information on JESSE C WOODALL JR..
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.