DR. JIMMIE DANIEL WOODALL (NPI# 1649566076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649566076 |
Entity Type | Individual |
Full Name | DR. JIMMIE DANIEL WOODALL |
Credential | DO |
Practice Address |
1005 W Green St Ste 301 Hastings MI 49058-1712 |
Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 2699458080 |
Practice Fax Number | 2699458081 |
Enumeration Date | 2011-06-23 |
Last Update Date | 2016-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 5101019223 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1005 W GREEN ST STE 301 |
City | HASTINGS |
State | MI |
Zip Code | 49058-1712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144224700 | Steven George Wildern | Specialist | 1005 W Green St, Rm 301, Hastings, MI 49058-1729 | 2005-06-10 |
1235676651 | Tami Pettenger | Registered Nurse | 1005 W Green St, Ste 300, Hastings, MI 49058-1712 | 2017-01-24 |
1841644184 | Pennock Hospital | Clinic/Center | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2016-04-22 |
1124488812 | Pennock Hospital Board of Trustees | Surgery | 1005 W Green St, Hastings, MI 49058-1712 | 2016-02-24 |
1821497223 | Diane Hart | Registered Nurse | 1005 W Green St, Hastings, MI 49058-1712 | 2014-08-21 |
1215351317 | Roxanne R Gaiski | Advanced Practice Midwife | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2014-02-10 |
1437594991 | West Michigan Heart | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2013-05-09 |
1215221353 | Pennock Hospital | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2011-06-07 |
1265732366 | Spectrum Health Primary Care Partners | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-10-24 |
1023340981 | Pennock Hospital | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-02-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
Find all providers in zip 49058 |
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 |
---|---|---|---|---|
1417060294 | Oscar Degoa | Obstetrics & Gynecology | 1108 W State Street, Suite 3, Hastings, MI 49058-1709 | 2006-08-16 |
1164876942 | Gita Byraiah | Obstetrics & Gynecology | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2016-04-19 |
1659526481 | Womens Health First PC | Obstetrics & Gynecology | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2008-11-20 |
1164689667 | Jennifer Ann Slostad | Obstetrics & Gynecology | 1210 1st St W, Hastings, MN 55033-1147 | 2008-05-21 |
1053503680 | Angela Carol Faulkner | Obstetrics & Gynecology | 1210 1st St W, Hastings, MN 55033-1147 | 2007-08-17 |
1598963027 | Tyler J Adam | Obstetrics & Gynecology | 2115 N Kansas Ave, Suite 204, Hastings, NE 68901-2698 | 2007-07-05 |
1306966700 | Hastings Gynecology & Obstetrics, P.C. | Obstetrics & Gynecology | 1005 W Green St, Suite 201, Hastings, MI 49058-1712 | 2007-03-30 |
1629123435 | Laura M Doherty | Obstetrics & Gynecology | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2007-01-24 |
1649299223 | Laura J Kota | Obstetrics & Gynecology | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2006-07-18 |
1346284759 | Robert A Valice | Obstetrics & Gynecology | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2006-06-15 |
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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.