JACOB TANNER WOOLDRIDGE


Address: 622 West 168th Street, Ph 15 West 1574, New York, NY 10032
Phone: 2123055697

JACOB TANNER WOOLDRIDGE (NPI# 1497133649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497133649
Entity Type Individual
Full Name JACOB TANNER WOOLDRIDGE
Credential M.D.
Practice Address 622 West 168th Street
Ph 15 West 1574
New York
NY 10032
Mailing Address 622 West 168th Street Ph 15 West 1574
New York
NY 10032
Practice Telephone 2123055697
Mailing Telephone 2123055697
Enumeration Date 2015-05-08
Last Update Date 2019-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
BP10053405 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 University Blvd, Galveston, TX 775550428 4097722870 4097472400

Office Location

Street Address 622 WEST 168TH STREET
PH 15 WEST 1574
City NEW YORK
State NY
Zip Code 10032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922055854 Nina Brogle Radiology 622 West 168th Street, New York, NY 10032 2006-05-27
1730780677 Rompin Shih Counselor 622 West 168th Street, Chony North B11, New York, NY 10032-1003 2020-11-06
1366065518 Kate Qianyue Zhang Student in an Organized Health Care Education/Training Program 622 West 168th Street, 8th Floor Dental Clinic, New York, NY 10032 2020-05-22
1629697248 Nicholas Gadsden Student in an Organized Health Care Education/Training Program 622 West 168th Street, Dept of Anesthesiology, New York, NY 10032 2020-04-14
1144857954 Gerard Francis Marciano Student in an Organized Health Care Education/Training Program 622 West 168th Street, Ph11 - 1102, New York, NY 10032 2020-03-24
1902366115 Akinrinola Famuyide Radiology 622 West 168th Street, New York, NY 10032 2019-03-22
1689133217 Nicholas Lange Pharmacist 622 West 168th Street, Vc-basement, New York, NY 10032 2019-03-13
1376010322 Margaret O'connor Cuomo Nurse Practitioner 622 West 168th Street, Ph12, Room 1270, New York, NY 10032 2018-10-29
1114432671 Columbia University Health Care, Inc. Clinic/Center 622 West 168th Street, Vanderbilt Clinic 9th Floor, New York, NY 10032-3720 2017-12-06
1023520095 Horia Vulpe Radiology 622 West 168th Street, Chony North B Level, Room 11, New York, NY 10032-3720 2017-10-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
Find all providers in zip 10032

Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619359916 Hamza Numan Gokozan Pathology 525 E 68th St Rm F-771a, New York, NY 10065-4870 2015-06-23
1679988612 Lingxin Zhang Pathology 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 2014-06-29
1003227737 Jose Victor Scarpa Carniello Pathology 525 E 68th St Rm F-07766b, New York, NY 10065-4870 2014-05-15
1619310810 Negin Shafizadeh Pathology 550 1st Ave # Th461, New York, NY 10016-6402 2013-04-08
1174870679 Tanu Goyal Pathology 1468 Madison Ave # 00296574, New York, NY 10029 2012-08-14
1881955888 Nina Schatz-siemers Pathology 525 E 68th St # 1031e, New York, NY 10065-4870 2012-06-06
1710246764 Reuben Paul Jacob Pathology 327 E 64th St Rm 520, New York, NY 10065-6704 2012-05-11
1609135995 Dan Lu Pathology 1468 Madison Ave Bldg Rm15-265, New York, NY 10029-6508 2012-05-08
1083998108 Adolfo Firpo-betancourt Pathology 1 Gustave L Levy Pl # 1194, New York, NY 10029-6500 2011-10-07
1629366307 Xiaoqing O'leary Pathology 300 E 54th St Apt 9k, New York, NY 10022-5021 2011-07-15
Find all providers in NEW YORK

Competitor

Search similar providers

City NEW YORK
Zip Code 10032

Improve Information

Please comment or provide details below to improve the information on JACOB TANNER WOOLDRIDGE.

Dataset Information

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.

Trending Searches