PAUL WOODHEAD (NPI# 1639534605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639534605 |
| Entity Type | Individual |
| Full Name | PAUL WOODHEAD |
| Practice Address |
2000 Connecticut Ave Sector North Bend Medical North Bend OR 97459-2300 |
| Practice Telephone | 5417569234 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
2000 CONNECTICUT AVE SECTOR NORTH BEND MEDICAL |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851472542 | Scott Paul Heverly | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2006-10-18 |
| 1528423522 | Jaclyn Carricato | Military Health Care Provider | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2015-12-18 |
| 1659755114 | Tyler Palinkas | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2015-07-15 |
| 1063832111 | Megan Lucas | Registered Nurse | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2014-04-16 |
| 1992141774 | Dustin W King | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2013-05-20 |
| 1215202387 | Jonna Marie Emineth | Technician, Health Information | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2012-03-21 |
| 1033416581 | Emmanuel Lopez | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2011-02-18 |
| 1932430972 | Iredell Camuel Wyatt Iv | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2010-01-14 |
| 1033395520 | Donna D Tomlinson | Registered Nurse | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2008-01-14 |
| 1619165537 | Lynn C Kuchas | Specialist/Technologist, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2007-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750662714 | Geoffrey Francis Hunley | Military Health Care Provider | 3400 Browns Creek Rd, The Dalles, OR 97058-7528 | 2011-09-06 |
| City | NORTH BEND |
| Zip Code | 97459 |
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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.