MS. MELANIE JUNEQ WOOD (NPI# 1588659874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588659874 |
Entity Type | Individual |
Full Name | MS. MELANIE JUNEQ WOOD |
Credential | PA |
Practice Address |
Madigan Army Medical Center Ft Lewis WA 98433 |
Mailing Address |
505 S 336th St Suite 600 Federal Way WA 98003-6328 |
Practice Telephone | 2539682626 |
Mailing Telephone | 2538386180 |
Mailing Fax Number | 2538386418 |
Enumeration Date | 2005-09-13 |
Last Update Date | 2008-04-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10001997 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | LIWA | 0228936 | 01 |
WA | BSWA | 6176MO | 01 |
WA | 8486573 | 05 | |
WA | BSWA | 8119WO | 01 |
WA | BSWA | 6177WO | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417504002 | Melanie A Wood | Marriage & Family Therapist | 123 N Pennsylvania Ave, Anthony, KS 67003-2935 | 2019-08-20 |
1811492879 | Melanie Wood | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2018-03-29 |
1669813093 | Melanie L Wood | Nurse Practitioner | 3811 O'hara Street, Western Psychiatric Institue, Pittsburgh, PA 12513 | 2013-07-15 |
1255478582 | Melanie Wood | Occupational Therapist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2007-01-30 |
Street Address |
MADIGAN ARMY MEDICAL CENTER |
City | FT LEWIS |
State | WA |
Zip Code | 98433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114004199 | Gita Velu | Social Worker | Madigan Army Medical Center, Ft Lewis, WA 98431 | 2006-11-01 |
1114981016 | Marie B Hubbard | Dietetic Technician, Registered | Madigan Army Medical Center, Medical Nutrition Therapy Branch, Ft Lewis, WA 98433 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
Find all providers in zip 98433 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437219672 | Paul Andre Vincent | Physician Assistant | Dept of Family Medicine, Madigan Army Med Ctr, Ft Lewis, WA 98431 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MS. MELANIE JUNEQ WOOD.
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.