DR ROBERT WOODRUFF DPM PA (NPI# 1083882385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083882385 |
| Entity Type | Organization |
| Organization Name | DR ROBERT WOODRUFF DPM PA |
| Practice Address |
3855 Azalea Dr Jackson MS 39206-5105 |
| Practice Telephone | 6013667063 |
| Mailing Telephone | 6013667063 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DR. ROBERT WOODRUFF (CEO) |
| Authorized Official Telephone | 6013667063 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
80102 | MS | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3855 AZALEA DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043278203 | Medical Care Associates P A | Specialist | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2006-05-03 |
| 1922386218 | Sonia Leslie Walker | Nurse Practitioner | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2011-08-03 |
| 1013171198 | Medical Care Associates Mobile Unit | Internal Medicine | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2008-07-17 |
| 1245329341 | David Christian Williams | Internal Medicine | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477691095 | Julian Sansone, Dpm, PC | Podiatrist | 4 Peacock Ln, Jackson, NJ 08527 | 2007-02-03 |
| 1336220177 | Robert Kelvin Woodruff | Podiatrist | 3855 Azalea Drive, Jackson, MS 39206-5105 | 2006-10-18 |
| 1356615512 | The Wound & Podiatry Center | Podiatrist | 1815 Hospital Dr, Suite 434, Jackson, MS 39204-3425 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218289 | Ortho Express Holding Company, LLC | Podiatrist | 3952 N Gloster St Ste C, Tupelo, MS 38804-0913 | 2020-02-24 |
| 1124479100 | Foot and Surgery Clinic, Inc | Podiatrist | 7402 S Siwell Rd, Suite 110, Byram, MS 39272-9386 | 2016-06-30 |
| 1871953877 | Foot and Surgery Clinci, Inc | Podiatrist | 580 S Pear Orchard Rd Apt 312, Ridgeland, MS 39157-4210 | 2016-03-03 |
| 1508161597 | Jla Senior Footcare Ms LLC | Podiatrist | 300 Ark Ln, Petal, MS 39465-3606 | 2011-01-21 |
| 1497905079 | Vershern Edwards | Podiatrist | 297 Hwy 51 Suite C, Ridgeland, MS 39157 | 2008-09-19 |
| 1285827071 | Moss Point Foot Clinic, LLC | Podiatrist | 4316 Mcinnis Ave, Moss Point, MS 39563-2812 | 2007-08-24 |
| 1821208372 | Natchez Podiatry & Foot Surgery Pa | Podiatrist | 228c John R Junkin Dr, Natchez, MS 39120-3822 | 2007-05-23 |
| 1205049657 | Michael L Boykins | Podiatrist | 6800 Old Canton Rd Ste 111, Ridgeland, MS 39157-1254 | 2007-05-08 |
| 1407922867 | Scott Joseph Hanegan | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
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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.