DR. ROBERT W. WOODRUFF JR. (NPI# 1659351617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659351617 |
| Entity Type | Individual |
| Full Name | DR. ROBERT W. WOODRUFF JR. |
| Credential | MD |
| Practice Address |
627 Eastland Ave Se Suite 302 Warren OH 44484-4501 |
| Mailing Address |
452 Broadway Ave Youngstown OH 44504-1556 |
| Practice Telephone | 3308414661 |
| Practice Fax Number | 3308414565 |
| Mailing Telephone | 8889402722 |
| Mailing Fax Number | 5136328898 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35.075650 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35075650W | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE PTAN | H176220 | 01 |
| OH | 2110870 | 05 | |
| OH | MEDICARE PTAN | H153540 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210983 | Robert Jake Woodruff | Specialist/Technologist | 1704 Twining Rd, Willow Grove, PA 19090-3732 | 2019-02-08 |
| 1497250922 | Robert Lincoln Woodruff | Specialist/Technologist | 1050 E Norris Dr Ste 3, Ottawa, IL 61350-1605 | 2018-03-27 |
| 1336220177 | Robert Kelvin Woodruff | Podiatrist | 3855 Azalea Drive, Jackson, MS 39206-5105 | 2006-10-18 |
| 1306850995 | Robert Woodruff | Chiropractor | 352 Main St Ne, Los Lunas, NM 87031-7465 | 2006-07-28 |
| 1073554754 | Robert A Woodruff | Family Medicine | 311 W Main St, Wilburton, OK 74578-4047 | 2006-06-10 |
| 1821081340 | Robert David Woodruff | Optometrist | 2665 Fox Pointe Dr, Columbus, IN 47203-3222 | 2005-08-30 |
| 1194729533 | Robert Everett Woodruff II | Optometrist | 8051 Vesta Ave, Ste 2, Northfield, OH 44067-2044 | 2005-06-13 |
| 1619435583 | Robert Woodruff | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2019-03-08 |
| 1669513552 | Robert James Woodruff | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2007-02-12 |
| 1659454262 | Robert C Woodruff | Specialist | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2006-10-24 |
| Street Address |
627 EASTLAND AVE SE SUITE 302 |
| City | WARREN |
| State | OH |
| Zip Code | 44484-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039447 | Steven Lee Ballas | Internal Medicine | 627 Eastland Ave Se, Ste 301, Warren, OH 44484-4501 | 2005-10-31 |
| 1205307261 | Shannon Marie Luther | Nurse Practitioner | 627 Eastland Ave Se, Warren, OH 44484-4501 | 2018-12-16 |
| 1831664218 | Matthew Gatchel | Pharmacist | 627 Eastland Ave Se, Warren, OH 44484-4501 | 2018-10-11 |
| 1336456391 | Benjamin Ryan Biteman | Surgery | 627 Eastland Ave Se, Ste 302, Warren, OH 44484-4501 | 2010-09-10 |
| 1699901967 | Healthtronix Lymphedema Management, Inc. | Durable Medical Equipment & Medical Supplies | 627 Eastland Ave Se, Suite 203, Warren, OH 44484-4501 | 2009-06-01 |
| 1952479099 | Maria Rizer | Registered Nurse | 627 Eastland Ave Se, Suite 301, Warren, OH 44484-4501 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801182274 | Justin Charles Brower | Surgery | 103 W Saint Clair St Rm 2e, Warren, PA 16365-2188 | 2011-06-23 |
| 1760799431 | Joseph Alvin Martin | Surgery | 627 Eastland Ave Se Ste 201, Warren, OH 44484-4501 | 2010-09-01 |
| 1184814303 | Martin Quiroga | Surgery | 27101 Schoenherr Rd Ste 200, Warren, MI 48088 | 2007-07-25 |
| 1578655049 | Keith N Marshall | Surgery | 3272 E. 12 Mile Road, Suite 102, Warren, MI 48092 | 2006-09-29 |
| 1124139639 | Mso Physicians | Surgery | 2449 E 12 Mile Rd, Warren, MI 48092-5647 | 2006-08-31 |
| 1760439459 | Narendra Devisinh Gohel | Surgery | 27472 Schoenherr Rd Ste 108, Warren, MI 48088-6687 | 2006-05-28 |
| 1770536591 | Philip S Vuocolo | Surgery | 103 W Saint Clair St Rm 2d, Warren, PA 16365 | 2006-05-19 |
| 1154389047 | Marc S Saunders D.o. | Surgery | 3915 E Market St, Warren, OH 44484-4710 | 2006-05-02 |
| 1811970338 | William R Henwood | Surgery | 1353 E Market St, Suite 302, Warren, OH 44483-6637 | 2005-11-29 |
| 1952382418 | Ronald Nazem Khoury | Surgery | 8790 E Market St, Ste 100, Warren, OH 44484-2360 | 2005-11-10 |
| Find all providers in WARREN | ||||
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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.