DR. MARK L WOODARD (NPI# 1114975141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114975141 |
| Entity Type | Individual |
| Full Name | DR. MARK L WOODARD |
| Credential | D.O. |
| Practice Address |
1223 S Gear Ave Suite 109 West Burlington IA 52655-1682 |
| Practice Telephone | 3197681820 |
| Mailing Telephone | 3197681820 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02278 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3261990 | 05 | |
| IA | BLUE CROSS BLUE SHIELD | 37985 | 01 |
| RAILRAOD MEDICARE | P00172359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154678290 | Mark Woodard | Nurse's Aide | 1720 S Bellaire St, Ste 325, Denver, CO 80222-4304 | 2012-08-08 |
| 1982725727 | Mark Downing Woodard | Pathology | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-04-02 |
| Street Address |
1223 S GEAR AVE SUITE 109 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095027 | Daniel J. Peasley | Internal Medicine | 1223 S Gear Ave, #205, West Burlington, IA 52655-1682 | 2005-07-01 |
| 1689115727 | Meredith Alicia Lee | Nurse Practitioner | 1223 S Gear Ave, #304, West Burlington, IA 52655-1682 | 2017-03-08 |
| 1346795226 | Dawn Marie Rohrer | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2016-08-19 |
| 1083168967 | Brandy Parker | Nurse Practitioner | 1223 S Gear Ave, Eastman Plaza, Suite 304, West Burlington, IA 52655-1682 | 2016-08-09 |
| 1902270317 | Laura Lee Martin | Nurse Practitioner | 1223 S Gear Ave, Suite 208, Eastman Plaza, West Burlington, IA 52655-1682 | 2015-11-23 |
| 1457618100 | River Cities Ophthalmology, P.C. | Ophthalmology | 1223 S Gear Ave, 307 Eastman Plaza, West Burlington, IA 52655-1682 | 2012-04-19 |
| 1760790851 | Jane Ann Schuler | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2010-09-22 |
| 1275861080 | Norah Khangura | Ophthalmology | 1223 S Gear Ave, Eastman, Suite 309, West Burlington, IA 52655-1682 | 2009-12-07 |
| 1134387012 | Erin Margaret Haeger | Obstetrics & Gynecology | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-28 |
| 1598932204 | Elisabeth A Long | Nurse Practitioner | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962788687 | Richard G. To | Internal Medicine | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2011-10-26 |
| 1952478620 | Abdullah A Alwahdani | Internal Medicine | 1223 S Gear Ave, Suite 109, West Burlington, IA 52655-1682 | 2006-11-29 |
| 1780642694 | Southeast Iowa Cardiology | Internal Medicine | 1223 S Gear Ave, Suite 201, West Burlington, IA 52655-1682 | 2006-05-02 |
| 1144288069 | Anthony L Lazar | Internal Medicine | 1223 S Gear Ave, Suite 109, West Burlington, IA 52655-1682 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205191210 | Deepika Reddy Abbadi | Internal Medicine | 1301 Pennsylvania Ave Ste 100, Des Moines, IA 50316-2364 | 2012-07-06 |
| 1679838700 | Vishesh Kumar | Internal Medicine | 1301 Penn Ave Ste 100, Des Moines, IA 50316-2364 | 2012-07-04 |
| 1952501918 | Himanshu Tandon | Internal Medicine | 419 E Donald St, Waterloo, IA 50703-1500 | 2007-07-18 |
| 1720201502 | Shannon H Hoos Thompson | Internal Medicine | Unity Point Health St. Lukes, 5885 Sunnybrook Dr. Ste L-200, Sioux City, IA 51106-4251 | 2007-04-10 |
| 1932214194 | Rami Sabbah Eltibi | Internal Medicine | 1000 Langworthy, Dubuque, IA 52001-7313 | 2006-08-20 |
| 1982632907 | Cardiovascular Medicine PC | Internal Medicine | 1236 E. Rusholme Street, Suite 300, Davenport, IA 52803 | 2006-06-29 |
| 1821035114 | Frances L Johnson | Internal Medicine | 540 E Jefferson St Ste 400, Iowa City, IA 52245-2479 | 2006-06-02 |
| 1932152238 | Richard Paul Menning | Internal Medicine | 152 W Dale St, Waterloo, IA 50703-1925 | 2006-05-18 |
| 1508819012 | Cardiologists, P.C. | Internal Medicine | 1002 4th Ave Se, Cedar Rapids, IA 52403-2425 | 2006-05-18 |
| 1588617880 | Hugo Elias Koo | Internal Medicine | 943 Sunrise Blvd, Waterloo, IA 50701-4951 | 2006-05-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.