KRISTIN WOODBURY


Address: 1710 Pennsylvania Ave, Ste D, Fairfield, CA 94533-3549
Phone: 7074322000

KRISTIN WOODBURY (NPI# 1861614067) 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) 1861614067
Entity Type Individual
Full Name KRISTIN WOODBURY
Credential D.O.
Practice Address 1710 Pennsylvania Ave
Ste D
Fairfield
CA 94533-3549
Mailing Address 1710 Pennsylvania Ave
Suite D
Fairfield
CA 94533-3589
Practice Telephone 7074322000
Practice Fax Number 7074322001
Mailing Telephone 7074322000
Mailing Fax Number 7074322001
Enumeration Date 2007-05-03
Last Update Date 2016-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology OS015105 PA Allopathic & Osteopathic Physicians
Y 207YX0602X Otolaryngology
Specialization: Otolaryngic Allergy
20A 11724 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1710 PENNSYLVANIA AVE
STE D
City FAIRFIELD
State CA
Zip Code 94533-3549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710986435 Eastbay Home Health Services, Inc Home Health 1710 Pennsylvania Ave, Suite E, Fairfield, CA 94533-3589 2005-07-14
1477736395 Frank W. Hull, M.d. Optometrist 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3589 2007-12-13
1598833949 Oladimeji Fatai Sorunke Dentist 1710 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3589 2006-12-02
1518038108 Mark R Christensen Optometrist 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3549 2006-11-13
1073531356 Murray Alan Woolf Otolaryngology 1710 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3589 2006-07-17
1720071327 Frank W Hull Ophthalmology 1710 Pennsylvania Ave, Ste B, Fairfield, CA 94533 2005-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609487347 Shayondelice Sledge Case Manager/Care Coordinator 3001 N. Texas St., #27, Fairfield, CA 94533 2020-08-16
1508401191 Tiffany Ann Garcia Social Worker 1301 Roman Way, Martinez, CA 94533 2019-11-07
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
1427500164 Tanya Ayers Counselor 801 Empire Street, Fairfield, CA 94533 2016-10-28
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Taxonomy Information

Taxonomy Code 207YX0602X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngic Allergy

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326665415 Faculty Physicians and Surgeons of Llusm Otolaryngology 4646 Brockton Ave Ste 103, Riverside, CA 92506-0103 2020-07-06
1053705228 Beverly Hills Wellness Physicians Corp Otolaryngology 701 E 28th St Ste 100, Long Beach, CA 90806-2769 2015-03-25
1205181427 Walter Edwin Arute Otolaryngology 1945 Discovery Village Ln, Gold River, CA 95670-3063 2012-07-14
1750588257 Voice Institute of Beverly Hills A Medical Corporation Otolaryngology 8500 Wilshire Blvd Ste 908, Beverly Hills, CA 90211-3107 2007-06-28
1508916651 The Family-centered Ear, Nose, Throat Group Otolaryngology 18181 Butterfield Blvd Ste 180, Morgan Hill, CA 95037-8112 2007-01-11
1659394419 Quoc Ai Nguyen Otolaryngology 13362 Brookhurst St, Garden Grove, CA 92843-3153 2006-07-25
1164440822 Daniel Joseph Schlund Otolaryngology 125 Mall Dr, Ste 307, Hanford, CA 93230-5794 2006-07-18
1942244108 Donald Wilkes Burt Jr. Otolaryngology 18181 Butterfield Blvd Ste 120, Morgan Hill, CA 95037-8108 2006-06-16
1205804747 Darrell Herbert Hunsaker Otolaryngology 5121 San Aquario Dr, San Diego, CA 92109-1511 2006-03-10
1043212376 Ear Nose and Throat Medical Clinic Inc Otolaryngology 1050 Las Tablas Rd, Templeton, CA 93465-9729 2005-05-31
Find all providers with the same taxonomy

Competitor

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City FAIRFIELD
Zip Code 94533

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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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