WAYNE M WOODBURY


Address: 316 Marketplace Dr Ste 20, Johnson City, TN 37604-2596
Phone: 4237945580

WAYNE M WOODBURY (NPI# 1770572893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770572893
Entity Type Individual
Full Name WAYNE M WOODBURY
Credential MD
Practice Address 316 Marketplace Dr Ste 20
Johnson City
TN 37604-2596
Mailing Address 215 E Springbrook Dr
Johnson City
TN 37601-1761
Practice Telephone 4237945580
Practice Fax Number 4232328561
Mailing Telephone 4237945580
Mailing Fax Number 4232328561
Enumeration Date 2005-10-20
Last Update Date 2019-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation 042978 GA Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
24642 TN Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
8397828-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q010272 05
GA 000729385D 05
GA WELLCARE MEDICAID & MEDICARE 552387 01
GA 000729385C 05
AMERIGROUP 01352928 01
GA 000729385A 05
SC G42978 05
GA RR MEDICARE P00795760 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 N 200 E, Suite 2a, St George, UT 847703010 4356887246 4356881363

Other Providers WAYNE WOODBURY

NPI Name Taxonomy Address Enumeration
1720477169 Wayne Woodbury Pharmacist 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 2015-01-22

Office Location

Street Address 316 MARKETPLACE DR STE 20
City JOHNSON CITY
State TN
Zip Code 37604-2596

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558531939 Abbie Sarah Harris Nurse Practitioner 316 Marketplace Dr Ste 20, Johnson City, TN 37604 2008-03-03
1780705434 Heather N Hambrick Nurse Practitioner 316 Marketplace Dr Ste 20, Johnson City, TN 37604-2596 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174504294 Sheng Tchou Physical Medicine & Rehabilitation 411 Princeton Rd, Suite 101, Johnson City, TN 37601-2049 2005-11-07
1821025222 Benjamin Meeks Physical Medicine & Rehabilitation 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2006-06-28
1245267095 Cheryl Conrad Physical Medicine & Rehabilitation 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2006-06-27
1134164205 Holly Broadwater Physical Medicine & Rehabilitation 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2006-06-20
1699710004 Shannon Hollowell Physical Medicine & Rehabilitation 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2006-06-19
1477594364 Pain Medicine Associates, P.C. Physical Medicine & Rehabilitation 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720616915 Isaac Spine, Joint & Pain Institute Physical Medicine & Rehabilitation 2004 Hayes St Ste 655, Nashville, TN 37203-2646 2020-04-01
1558880286 Healthcare Resources Management LLC Physical Medicine & Rehabilitation 74 Lebanon Hwy, Carthage, TN 37030-2954 2017-09-13
1245606110 Lauren Frommert Physical Medicine & Rehabilitation 419 Steam Plant Rd, Gallatin, TN 37066-3027 2015-08-14
1073855573 Southern Pain Institute Pllc Physical Medicine & Rehabilitation 1608 Williams Dr Ste 300, Murfreesboro, TN 37129-3195 2013-03-22
1033386941 Southern Pain Institute Pllc Physical Medicine & Rehabilitation 393 Wallace Rd Ste A204, Nashville, TN 37211-4983 2008-05-09
1225214307 Elmer G. Pinzon Physical Medicine & Rehabilitation 110 Center Park Dr, Ste 102 & 103, Knoxville, TN 37922-2114 2008-01-18
1104837327 Thomas Scott Baker Physical Medicine & Rehabilitation 1423 W Baddour Pkwy, Lebanon, TN 37087-3061 2006-08-11
1720541402 Tennessee Integrative Pain Institute Plc Physical Medicine & Rehabilitation 5073 Main St Ste 200, Spring Hill, TN 37174-2738 2019-04-10
1083154819 Interventional Pain Center, Pllc Physical Medicine & Rehabilitation 3443 Dickerson Pike, Suite 730, Nashville, TN 37207-2519 2017-02-27
1033653373 Woosley Medical Rehab and Wellness Physical Medicine & Rehabilitation 913 Conference Dr, Suite 103, Goodlettsville, TN 37072-1991 2016-12-06
Find all providers with the same taxonomy

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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