EDWARD JAMES WOOLSEY (NPI# 1801867098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801867098 |
| Entity Type | Individual |
| Full Name | EDWARD JAMES WOOLSEY |
| Credential | MD |
| Practice Address |
677 N Wilmot Rd Tucson AZ 85711-2701 |
| Practice Telephone | 5207952889 |
| Practice Fax Number | 5207956321 |
| Mailing Telephone | 5207952889 |
| Mailing Fax Number | 5207956321 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
17002 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17002 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
17002 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
17002 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | GROUP MEDICAID ID | 005472 | 01 |
| AZ | 268591 | 05 | |
| AZ | GROUP MEDICARE ID | ZWCBBM | 01 |
| AZ | PHYSICIAN INDIVIDUAL NPI | 1801867098 | 01 |
| AZ | MEDICARE RAILROAD | 300024063 | 01 |
| AZ | GROUP NPI | 1841261989 | 01 |
| AZ | GROUP MEDICARE RAILROAD ID & PTAN | CS7943 | 01 |
| Street Address |
677 N WILMOT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841260114 | Boyd Cooley Ashdown | Radiology | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2006-01-26 |
| 1992238059 | Liana Iris Mcevoy | Registered Nurse | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2017-04-06 |
| 1447691860 | Tamara F Lundeen | Internal Medicine | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2013-07-14 |
| 1235427857 | Miriam Gurevich Emerson | Radiology | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2011-07-17 |
| 1326330218 | Shannon Urbina | Radiology Practitioner Assistant | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2011-05-10 |
| 1326368713 | Christine Nicole Eppelheimer | Internal Medicine | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2010-06-08 |
| 1306008313 | Chad Andrew Kohl | Radiology | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2008-06-30 |
| 1255591343 | Munish Kumar Chitkara | Internal Medicine | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2008-06-11 |
| 1457523607 | Danielle Michelle Carroll | Radiology | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2008-03-27 |
| 1598947202 | Diane Carol Musante | Physician Assistant | 677 N Wilmot Rd, Tucson, AZ 85711-2701 | 2007-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840188 | Smsj Imaging Company LLC | Radiology | 630 N Alvernon Way Ste 150, Tucson, AZ 85711-1844 | 2019-09-18 |
| 1417507765 | Smsj Imaging Company LLC | Radiology | 395 N Silverbell Rd Ste 185, Tucson, AZ 85745-2721 | 2019-09-18 |
| 1740839786 | Smsj Imaging Company LLC | Radiology | 4892 N Stone Ave Ste 180, Tucson, AZ 85704-5761 | 2019-09-11 |
| 1104280205 | Marcus Paul Carr | Radiology | Banner University Medical Center 1501 N, Tucson, AZ 85724-6410 | 2016-04-05 |
| 1659751774 | Chelsea Conn Caruso | Radiology | 1625 N Campbell Ave Unit 22, Tucson, AZ 85719-4330 | 2015-06-03 |
| 1699154542 | Lea Mackinnon | Radiology | 5749 E Hawthorne St, Tucson, AZ 85711-1523 | 2015-05-26 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1811385388 | Donald Lee Tempkin | Radiology | 3831 E Sumo Noveno, Tucson, AZ 85718-6051 | 2015-01-06 |
| 1356782221 | Wyatt Unger | Radiology | University of Arizona College of Medicine, 1501 N Campbell, Tucson, AZ 85721-0001 | 2013-07-08 |
| 1992046767 | Landon Winget | Radiology | 1845 W Orange Grove Rd Ste 105, Tucson, AZ 85704-1196 | 2013-03-04 |
| Find all providers in TUCSON | ||||
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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.