WOODROW HOLDER III (NPI# 1841746815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841746815 |
| Entity Type | Individual |
| Full Name | WOODROW HOLDER III |
| Credential | PA |
| Practice Address |
1201 E Michigan Ave Ste 300 Jackson MI 49201-1853 |
| Practice Telephone | 5172051431 |
| Practice Fax Number | 5172051432 |
| Mailing Telephone | 5172051431 |
| Mailing Fax Number | 5172051432 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 E MICHIGAN AVE STE 300 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208749 | John J Walper Jr. | Orthopaedic Surgery | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2005-07-14 |
| 1881165835 | Kelsie Smith | Nurse Practitioner | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-12-16 |
| 1669964243 | Nicole D Bristow | Physical Therapist | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-05-31 |
| 1972008415 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-03-27 |
| 1639694292 | Dana Czekaj | Nurse Practitioner | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2017-08-04 |
| 1144685520 | Miga Smith | Physician Assistant | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2015-12-29 |
| 1013392547 | Caleb Baker | Physician Assistant | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2015-07-27 |
| 1740664218 | Eric Kalis | Nurse Practitioner | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2015-07-15 |
| 1033514997 | Ryan Rompola | Specialist/Technologist | 1201 E Michigan Ave Ste 300, Jackson, MI 49201 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834494 | Emily Amburn | Physician Assistant | 2968 N Highland Ave, Jackson, TN 38305-3409 | 2020-02-24 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| 1306302328 | Chloe A Goldfarb | Physician Assistant | 21 Shoal Rd, Jackson, NJ 08527-4025 | 2019-02-14 |
| 1447722558 | Casey James Elliott | Physician Assistant | 747 Oakwood St, Jackson, MS 39202-1121 | 2018-12-31 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1982194551 | Samantha Lynn Denoville | Physician Assistant | 1 Kensington Ct, Jackson, NJ 08527-1292 | 2018-05-18 |
| 1104320308 | Dalton Glenn Weaver | Physician Assistant | 708 N Highland Ave, Jackson, TN 38301-4829 | 2018-03-21 |
| 1336669258 | Whitney J Peterson | Physician Assistant | 501 Marshall St Ste 301, Jackson, MS 39202-1687 | 2017-06-21 |
| 1922541093 | Jacob Carpenter | Physician Assistant | 2497 N West St, Jackson, MS 39216-4409 | 2016-11-22 |
| Find all providers in JACKSON | ||||
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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.