CHARLES E WOODALL III (NPI# 1730279506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730279506 |
| Entity Type | Individual |
| Full Name | CHARLES E WOODALL III |
| Credential | MD |
| Practice Address |
1001 E Primrose St Springfield MO 65807-5155 |
| Practice Telephone | 4178753000 |
| Practice Fax Number | 4178753245 |
| Mailing Telephone | 4178753000 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2002024530 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
2002024530 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1730279506 | 05 | |
| MO | 209419902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750750717 | Charles James Woodall | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-21 |
| 1366507220 | Charles Chrisp Woodall | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2006-12-22 |
| 1639252166 | Charles E. Woodall Jr. | Family Medicine | 18598 Highway 13 North, Branson West, MO 65616 | 2006-10-20 |
| 1245223866 | Charles J Woodall | Family Medicine | 7685 Winchester Rd, Memphis, TN 38125-2202 | 2005-08-30 |
| Street Address |
1001 E PRIMROSE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915792 | Robert Clayton Scanlon II | Urology | 1001 E Primrose St, Springfield, MO 65807-5155 | 2005-07-07 |
| 1619580537 | Nathaniel Levi Kenady | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2020-08-29 |
| 1891343893 | Connie J Garrett | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-09-03 |
| 1689236085 | Lindsey Joy Gelber | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-07-05 |
| 1174186654 | Stephenie Michele Zinter | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-04-19 |
| 1215495650 | Mikel Dashtipour | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-03-05 |
| 1043774789 | Arielle M Campbell | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-01-28 |
| 1649755919 | Stephanie Lynn Brown | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-10-02 |
| 1114401312 | Teresa Cunningham | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-09-24 |
| 1336629120 | Katelynne D Haun | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861834608 | Jesse T Casaubon | Surgery | 100 Wason Ave Ste 340, Springfield, MA 01107-1179 | 2013-07-22 |
| 1225237704 | Roger Hoon Kim | Surgery | 315 W Carpenter St Fl C2, Springfield, IL 62702-4901 | 2007-07-13 |
| 1861493132 | Elizabeth W. Brady | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2005-08-09 |
| 1922393669 | Danielle M Lipoff | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2011-06-10 |
| 1184816829 | Shuja Ahmed | Surgery | 301 N 8th St, Springfield, IL 62701-1041 | 2007-08-16 |
| 1780695320 | Susan Cash | Surgery | 3350 Main Street, Springfield, MA 01199 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063699502 | Saint Luke's Hospital Physician Billing Services, LLC | Surgery | 4323 Wornall, Peet Center Level 1, Kansas City, MO 64111 | 2008-01-28 |
| 1720006364 | William E Gillanders | Surgery | 4921 Parkview Pl Ste 7c, Ste 7c, Saint Louis, MO 63110-1032 | 2006-07-18 |
| 1225054455 | Timothy J Eberlein | Surgery | 216 S Kingshighway Blvd Fl 5, 5th Fl, Saint Louis, MO 63110-1026 | 2006-07-14 |
| 1841274446 | Jovita Un Oruwari | Surgery | 3440 De Paul Ln Ste 104, Bridgeton, MO 63044-3546 | 2005-12-06 |
| 1922318989 | Fatema Ibrahim Almushawah | Surgery | 660 S Euclid Ave, Washington University /surgery Oncology, Saint Louis, MO 63110-1010 | 2010-10-08 |
| 1144555723 | Jussuf T Kaifi | Surgery | One Hospital Dr, Columbia, MO 65212 | 2009-10-15 |
| 1033303276 | Richard Smith | Surgery | 1 Hospital Drive, Columbia, MO 65201-0001 | 2007-08-30 |
| 1497955728 | Barbara Zarebczan Dull | Surgery | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2007-07-24 |
| 1164440897 | Rebecca L Aft | Surgery | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2006-07-18 |
| 1376560839 | Bruce L Hall | Surgery | 4921 Parkview Pl Ste 5b, Ste 5b, Saint Louis, MO 63110-1032 | 2006-07-17 |
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| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.