WOUDELYNE JEAN (NPI# 1023650660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023650660 |
| Entity Type | Individual |
| Full Name | WOUDELYNE JEAN |
| Credential | CNP |
| Practice Address |
909 Sumner St Stoughton MA 02072-3396 |
| Mailing Address |
56 Galen St Brockton MA 02302-3336 |
| Practice Telephone | 7812978200 |
| Mailing Telephone | 7742742563 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
RN284634 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 243 Church St, Pembroke, MA 023591962 | 7818263838 |
| Street Address |
909 SUMNER ST |
| City | STOUGHTON |
| State | MA |
| Zip Code | 02072-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418887 | Commonwealth Communities Home Health Care Agency | Home Health | 909 Sumner St, Stoughton, MA 02072-3396 | 2005-06-27 |
| 1578171716 | Emily Rothfuss | Registered Nurse | 909 Sumner St, Stoughton, MA 02072-3396 | 2020-07-14 |
| 1609493006 | Rachel Gottlieb | Counselor | 909 Sumner St, Stoughton, MA 02072-3396 | 2020-07-01 |
| 1518583939 | Cheyenne Grice | Student in an Organized Health Care Education/Training Program | 909 Sumner St, Stoughton, MA 02072-3396 | 2020-06-22 |
| 1003431040 | Katherine Leivy | Counselor | 909 Sumner St, Stoughton, MA 02072-3396 | 2020-06-16 |
| 1912531450 | Tina Louise Santospago | Counselor | 909 Sumner St, Stoughton, MA 02072-3396 | 2020-02-24 |
| 1902459522 | Gabrielle Rose Pinchera | Counselor | 909 Sumner St, Stoughton, MA 02072-3396 | 2019-07-23 |
| 1861054462 | Nicole Victoria Drost | Counselor | 909 Sumner St, Stoughton, MA 02072-3396 | 2019-07-03 |
| 1285295600 | Bryce Scottron | Counselor | 909 Sumner St, Stoughton, MA 02072-3396 | 2019-06-26 |
| 1659848604 | Alison Gorin | Nurse Practitioner | 909 Sumner St, Stoughton, MA 02072-3396 | 2018-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1134601487 | Patricia Eichinger | Social Worker | Saint Anne's Gpu At New England Sinai Hospital, 150 York Street, Stoughton, MA 02072 | 2018-09-04 |
| 1649752080 | Anne Marguerite Shute | Social Worker | 171 Ash St., Stoughton, MA 02072 | 2018-09-02 |
| 1558849646 | Janet A. Wiederhold | Social Worker | 32 Conservation Way, Stooghton, MA 02072 | 2018-08-01 |
| 1497284624 | Tatiana T Rudd | Counselor | 11 Monk Street R1, Stoughton, MA 02072 | 2017-06-10 |
| 1447782461 | Childrens Dental Health Center PC | Dentist | 966c Park Street, Stoughton, MA 02072 | 2017-03-29 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1679020259 | Youssef Wahba | Pharmacist | 638 Washigton St, Stoughton, MA 02072 | 2016-09-01 |
| 1346601093 | Allstate Home Care,inc | Foster Care Agency | 5 Cabot Place., #1, Stoughton, MA 02072 | 2016-03-09 |
| 1386032167 | Tara L Traczyk | Registered Nurse | 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2015-01-02 |
| Find all providers in zip 02072 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1609487834 | Dsmd Consulting LLC | Internal Medicine | 7 Michelle Dr, Burlington, MA 01803-4510 | 2020-08-12 |
| 1013535632 | Alzheimers Disease Center | Internal Medicine | 54 Miller St Fl 4, Quincy, MA 02169-4725 | 2020-07-09 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1306220900 | Mariuxi Alexandra Viteri Malone | Internal Medicine | 725 Albany Street, Shapiro 9, Boston, MA 02118 | 2015-07-13 |
| 1548640105 | At Care, Pllc | Internal Medicine | 907 East St, Carlisle, MA 01741-1214 | 2015-06-08 |
| 1043620545 | Cynthia Schoettler | Internal Medicine | 110 Francis St Ste 1a, Boston, MA 02215 | 2014-05-06 |
| 1356778146 | East Coast Medical Associates Pllc | Internal Medicine | 149 Ashley St, Fall River, MA 02720-1511 | 2013-10-11 |
| 1437454287 | Geriatric Internal Medicine Specialists, LLC | Internal Medicine | 2 Kirkat Way, North Dartmouth, MA 02747-3860 | 2011-01-25 |
| 1306161443 | Aco Health Solutions, LLC | Internal Medicine | 651 Orchard St Ste 206, New Bedford, MA 02744-1007 | 2010-04-01 |
| 1013178698 | Geriatric Solutions | Internal Medicine | 370 Read St, Seekonk, MA 02771-1405 | 2008-06-17 |
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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.