Bruce Woodall (NPI# 1588667182, PAC ID# 8820051352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588667182 |
| PAC ID by PECOS | 8820051352 |
| Professional Enrollment ID | I20120813000704 |
| Full Name | Bruce Woodall |
| Organization Legal Name | LAKELAND MEDICAL ASSOCIATES |
| Address |
170 Municipal Dr Gun Barrel City TX 75156-3704 |
| Phone Number | 9038877992 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567476146 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 117 Medical Cir, Athens, TX 75751-9003 | 9036763200 | LAKELAND MEDICAL ASSOCIATES |
| 170 Municipal Dr, Gun Barrel City, TX 75156-3704 | 9038877992 | LAKELAND MEDICAL ASSOCIATES |
| Organization Legal Name | LAKELAND MEDICAL ASSOCIATES |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Heine | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Steven Koerth | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Christian J Zuniga | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Richard T David | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Victoria M Jacobs | Physician Assistant | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Charles Mettetal | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Joshua N Splinter | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Waleed Mahmoud | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Jessica Thomason Boldwill | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Angela M Hill | Nurse Practitioner | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Street Address |
170 MUNICIPAL DR |
| City | GUN BARREL CITY |
| State | TX |
| Zip | 75156-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Koerth | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Victoria M Jacobs | Physician Assistant | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Waleed Mahmoud | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Kristi Shawn Gore | Nurse Practitioner | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Alicia Cleaver | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Jon M Rich | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Marcus G Abadie | Family Practice | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin C Caldwell | Nurse Practitioner | Cedar Creek Clinic LLC | 2418 W Main St, Gun Barrel City, TX 75156-3638 |
| Krystal Lynn Morgan | Nurse Practitioner | Cedar Creek Clinic LLC | 2418 W Main St, Gun Barrel City, TX 75156-3638 |
| Adeniran A Ariyo | Cardiovascular Disease (cardiology) | 519 N Gun Barrel Ln, Gun Barrel City, TX 75156-3700 | |
| Leroy Paul Foster | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Don Brent Treichler | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| John Bowman | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Sheila Calmese | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Leeor B Peleg | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Cynthia S Ahearn | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Lauren R Knapp | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Find all physicians in zip 75156 | |||
| City | GUN BARREL CITY |
| Zip Code | 75156 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GUN BARREL CITY + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.