DONN J. WIEDERSHINE, M.D., P.C. (NPI# 1992934400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992934400 |
| Entity Type | Organization |
| Organization Name | DONN J. WIEDERSHINE, M.D., P.C. |
| Practice Address |
62 Ricks Road Woodstock NY 12498 |
| Practice Telephone | 8456792407 |
| Practice Fax Number | 8456792409 |
| Mailing Telephone | 8456792407 |
| Mailing Fax Number | 8456792409 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Authorized Official Name | DONN JAY WIEDERSHINE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8456792709 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 166433-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
62 RICKS ROAD |
| City | WOODSTOCK |
| State | NY |
| Zip Code | 12498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659822849 | Michael V. Motise-pacier | Nurse Practitioner | 272 Yerry Hill Rd, Woodstock, NY 12498 | 2016-10-22 |
| 1194148510 | Valerie Linet | Social Worker | 15 Pine Grove Street, Woodstock Therapy Center, Woodstock, NY 12498 | 2014-01-22 |
| 1033557640 | Andromeda Raindance | Licensed Practical Nurse | 105 Cottontail Lane, Woodstock, NY 12498 | 2013-06-06 |
| 1508135492 | Marcia Darrelee Panza | Registered Nurse | 8 West Hurley Rjoad, Woodstock, NY 12498 | 2011-12-21 |
| 1689876104 | Nikki Goldbeck | Nutritionist | 2585 Route 212, Woodstock, NY 12498 | 2007-06-05 |
| 1538377122 | Michael Tischler | Dentist | 121 Route 375, Woodstock, NY 12498 | 2007-05-18 |
| 1669576054 | Catskill Mountain Physical Therapy P.C. | Physical Therapist | 319 Maverick Rd, Glenfdord, NY 12498 | 2006-09-07 |
| 1407889546 | Vivian Letizia | Dentist | 2 Maverick Rd, Woodstock, NY 12498 | 2006-07-09 |
| 1457305088 | Nancy Abrams | Psychologist | 15 Pinegrove Street, Woodstock, NY 12498 | 2006-05-19 |
| 1891765244 | Maverick Family Medical, PC | Family Medicine | 404 Zena Rd, Woodstock, NY 12498 | 2006-01-26 |
| Find all providers in zip 12498 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1649623414 | Emily Chan | Family Medicine | 759 S Main St Ste 310, Woodstock, VA 22664-1156 | 2016-07-18 |
| 1164843389 | Stacey A O'brien | Family Medicine | 14205 Highway 92 Ste 105, Woodstock, GA 30188-7138 | 2013-12-16 |
| 1386997765 | Weatherstone Medical Care LLC. | Family Medicine | 3203 S Cherokee Ln, Suite 220, Woodstock, GA 30188-4461 | 2012-10-22 |
| 1629396585 | Lata Parvathaneni | Family Medicine | 900 Towne Lake Pkwy Ste 410, Woodstock, GA 30189-1604 | 2010-05-17 |
| 1699899096 | Hugh P Hermann | Family Medicine | Hugh P. Hermann, 4 The Green, Woodstock, VT 05091 | 2007-03-19 |
| 1538293725 | Hugh P. Hermann, M.d. | Family Medicine | 4 The Grn, Woodstock, VT 05091-1345 | 2007-03-16 |
| 1912038142 | Northside Family Practice, LLC | Family Medicine | 100 Stone Forest Drive, Suite 320, Woodstock, GA 30189 | 2007-03-08 |
| 1336224260 | Jacob Ward | Family Medicine | 1200 Buckhead Xing Ste B, Woodstock, GA 30189-4259 | 2006-10-26 |
| 1699869321 | Karen E. Ballard-montgomery | Family Medicine | 28921 Highway 5, Woodstock, AL 35188 | 2006-10-03 |
| Find all providers in WOODSTOCK | ||||
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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.