CHARLES WOOLDRIDGE (NPI# 1114959459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114959459 |
| Entity Type | Individual |
| Full Name | CHARLES WOOLDRIDGE |
| Credential | MD |
| Practice Address |
1595 E Main St Prattville AL 36066-5509 |
| Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
| Practice Telephone | 3343586540 |
| Practice Fax Number | 3343586550 |
| Mailing Telephone | 3342734508 |
| Mailing Fax Number | 3342734290 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17565 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Kelley Blvd., Suite D, Millbrook, AL 360542221 | 3342452600 | 3342452610 |
| Street Address |
1595 E MAIN ST |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780096628 | American Family Care, Inc. | General Practice | 1595 E Main St, Prattville, AL 36066-5509 | 2014-05-27 |
| 1750609327 | Jamaal Upshaw | Physician Assistant | 1595 E Main St, Prattville, AL 36066-5509 | 2010-05-06 |
| 1265515811 | Pri Med Physicians Inc | Family Medicine | 1595 E Main St, Prattville, AL 36066-5509 | 2006-10-24 |
| 1255352928 | Donald Brobst | Family Medicine | 1595 E Main St, Prattville, AL 36066 | 2006-07-21 |
| 1053332817 | Paul Tanaka | Family Medicine | 1595 E Main St, Prattville, AL 36066-5509 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| 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 |
|---|---|---|---|---|
| 1588178735 | Medical Care Associates Prattville | Family Medicine | 102 Medical Center Dr Ste A, Prattville, AL 36066-7286 | 2017-11-27 |
| 1205340460 | Medical Care Associates Prattville | Family Medicine | 645 Mcqueen Smith Rd N Ste 302b, Prattville, AL 36066-7269 | 2017-11-27 |
| 1669763868 | Amanda Wilcox | Family Medicine | 1805 Station Dr, Prattville, AL 36066-5667 | 2011-04-22 |
| 1326184029 | Prattville Primary Care LLC | Family Medicine | 461 E Main Street, Prattville, AL 36067 | 2007-01-29 |
| 1437213345 | John Angus Maclennan | Family Medicine | 370 Selma Hwy, Prattville, AL 36067-1903 | 2006-12-22 |
| 1710998505 | Wybenga Family Healthcare, Inc. | Family Medicine | 564 N Memorial Dr, Prattville, AL 36067-2132 | 2006-08-10 |
| 1134140734 | James Carson Byrd | Family Medicine | 1807 Station Dr Ste C, Prattville, AL 36066-5592 | 2006-07-21 |
| 1689608747 | Danny P Ingram | Family Medicine | Po Drawer 681330, Prattville, AL 36068-1330 | 2006-07-11 |
| 1730157561 | Sanjiv A Shah | Family Medicine | 124 S Memorial Dr, Prattville, AL 36067-3619 | 2006-03-09 |
| 1427044395 | Charles Garrison Cloutier | Family Medicine | 461 E Main St, Prattville, AL 36067-3409 | 2005-09-26 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on CHARLES WOOLDRIDGE.
| 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.