WOODWAY INTERNAL MEDICINE PC (NPI# 1730509050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730509050 |
| Entity Type | Organization |
| Organization Name | WOODWAY INTERNAL MEDICINE PC |
| Other Organization Name | WOODWAY MEDICAL GROUP PC |
| Practice Address |
4000 W Woodway Dr Muncie IN 47304-4264 |
| Practice Telephone | 7652134950 |
| Practice Fax Number | 7657414658 |
| Mailing Telephone | 7652134950 |
| Mailing Fax Number | 7657414658 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | MRS. VICKI D HOLLOWAY (PRACTICE MANAGER) |
| Authorized Official Telephone | 7652134950 |
| Authorized Official Credential | MT (ASCP) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodway Medical Group PC | Former Legal Business Name - Organization |
| Street Address |
4000 W WOODWAY DR |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902957400 | Robert P Suer | Internal Medicine | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2007-01-13 |
| 1609476456 | Keri L Lowe | Registered Nurse | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2020-10-30 |
| 1265705404 | Heather N Hamilton | Nurse Practitioner | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2012-02-20 |
| 1871629584 | Woodway Medical Group, PC | Clinic/Center | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2007-02-26 |
| 1669524658 | Earl E Lloyd | Internal Medicine | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2007-01-18 |
| 1528110764 | Thomas J Gibson | Internal Medicine | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2007-01-17 |
| 1396896437 | Joseph A Koss | Internal Medicine | 4000 W Woodway Dr, Muncie, IN 47304-4264 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
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| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780888396 | James L Dunn Md, Inc | Clinic/Center | 3600 N Briarwood Ln, Muncie, IN 47304-5219 | 2007-06-14 |
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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.