JOHN THEODORE WOESTE JR. (NPI# 1881684454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881684454 |
| Entity Type | Individual |
| Full Name | JOHN THEODORE WOESTE JR. |
| Credential | MD |
| Practice Address |
1375 Roberts Dr Suite 205 Jacksonville Beach FL 32250-3210 |
| Mailing Address |
6195 Lake Gray Blvd Suite 4 Jacksonville FL 32244-5891 |
| Practice Telephone | 9043891010 |
| Practice Fax Number | 9042702715 |
| Mailing Telephone | 9043891010 |
| Mailing Fax Number | 9043891082 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | ME64342 | FL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME64342 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 373694600 | 05 |
| Street Address |
1375 ROBERTS DR SUITE 205 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245768 | Thomas G Gaddis | Internal Medicine | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2005-06-14 |
| 1659506319 | Ilicia Lauren Shugarman | Internal Medicine | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2009-05-26 |
| 1396949954 | Joe E Gerges El Khoury | Internal Medicine | 1375 Roberts Dr, Suite 204, Jacksonville Beach, FL 32250-3210 | 2007-06-14 |
| 1093722647 | Shirley Lynn Fabrizio | Nurse Practitioner | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2006-08-02 |
| 1760417042 | Integrated Community Oncology Network LLC | Radiology | 1375 Roberts Dr, Suite 100, Jacksonville Beach, FL 32250-3210 | 2006-07-12 |
| 1053362723 | Michael B Ibach | Internal Medicine | 1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250-3210 | 2006-05-15 |
| 1780641464 | Walter Phelps Scott | Specialist | 1375 Roberts Dr, Suite 100, Jacksonville Beach, FL 32250-3210 | 2006-04-27 |
| 1073501805 | Michelle M Krawczyk | Nurse Practitioner | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2005-10-06 |
| 1467449785 | Integrated Community Oncology Network LLC | Internal Medicine | 1375 Roberts Dr, Ste 103, Jacksonville Beach, FL 32250-3210 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639264617 | Hector C Pagan Md Pa | Anesthesiology | 1361 13th Ave S, Ste 210, Jacksonville Beach, FL 32250 | 2006-10-04 |
| 1639280233 | John Woeste Jr Md & Assoc Pa | Anesthesiology | 1577 Roberts Dr, Suite 326, Jacksonville Beach, FL 32250-3264 | 2006-08-31 |
| 1710932447 | Veronica M. Antoine | Anesthesiology | 1361 13th Ave S, Jacksonville Beach, FL 32250-3233 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
| 1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.