MS. THERESA LYNETTE WOODARD (NPI# 1124045638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124045638 |
| Entity Type | Individual |
| Full Name | MS. THERESA LYNETTE WOODARD |
| Credential | M.D. |
| Practice Address |
2569 N Washington Ave Brownsville TN 38012 |
| Mailing Address |
2569 N Washington Ave Brownsville TN 38012-1610 |
| Practice Telephone | 7317724411 |
| Practice Fax Number | 7317722664 |
| Mailing Telephone | 7317724411 |
| Mailing Fax Number | 7317722664 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 48083 | TN | Other Service Providers |
| Y | 207R00000X | Internal Medicine | 48083 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE | 103I113900 | 01 |
| DEA | BW9458692 | 01 | |
| LA | STATE MEDICAL LICENSE | 199982 | 01 |
| TN | 1527156 | 05 | |
| LA | 1050636 | 05 | |
| TN | STATE MEDICAL LICENSE | 48083 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613795 | Theresa Ann Woodard | Counselor | 5059 Barrier Pl, Jackson, MS 39204-4004 | 2013-04-08 |
| 1528342730 | Theresa Rose Woodard | Nurse Practitioner | 3209 W Fullerton Pike Ste E, Bloomington, IN 47403-4060 | 2011-10-06 |
| Street Address |
2569 N WASHINGTON AVE |
| City | BROWNSVILLE |
| State | TN |
| Zip Code | 38012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669405700 | Clarey R Dowling | Family Medicine | 2569 N Washington Ave, Brownsville, TN 38012-1610 | 2006-07-09 |
| 1932363074 | Clarey R. Dowling, Md, P.C. | Specialist | 2569 N Washington Ave, Brownsville, TN 38012-1610 | 2008-07-17 |
| 1558395723 | Jackson Madison County General Hospital | Family Medicine | 2569 N Washington Ave, Brownsville, TN 38012-1610 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309213 | Henrietta Butler-shaw | Technician | 43 Autumn Dr., Brownsville, TN 38012 | 2019-11-06 |
| 1083711535 | Jaime Montoya Chavez | Legal Medicine | Box 291, Brownsville, TN 38012 | 2006-09-19 |
| 1083628432 | Bernasue Valerie Mcelrath | Chiropractor | 37 S Wilson Ave, Brownsville, TN 38012 | 2006-07-28 |
| 1427094655 | Gary Dean Pettigrew | Pharmacist | 2288 N Washington Ave, Quality Drug Company, Brownsville, TN 38012 | 2006-06-22 |
| 1184674590 | Jason Lowell Smothers | Optometrist | 1100 S Dupree Ave, Brownsville, TN 38012 | 2006-05-10 |
| 1972568749 | Crestview Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 704 Dupree Rd, Brownsville, TN 38012 | 2006-04-17 |
| 1003302951 | Faith Family Medical Clinic, LLC | Nurse Practitioner | 511 E Main St, Brownsville, TN 38012 | 2018-07-03 |
| 1780073213 | Robert Franklin Callery | Registered Nurse | 511 E Main St, Brownsville, TN 38012 | 2015-01-21 |
| 1184055345 | Ray Wakefield | Nurse Practitioner | 2290 N Washington Ave, Brownsville, TN 38012 | 2013-12-12 |
| 1821148073 | State of Tennessee | Public Health or Welfare | 950 East Main Street, Brownsville, TN 38012 | 2007-01-11 |
| Find all providers in zip 38012 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811410608 | Desiree G Taliancich | Internal Medicine | 26 S Coria St Ste B, Brownsville, TX 78520-7566 | 2017-07-24 |
| 1386177061 | Anmol Murli Wadhwani | Internal Medicine | 5730 Broken Spoke, Brownsville, TX 78526-4252 | 2017-04-10 |
| 1386092617 | Ponce Medical, Pllc | Internal Medicine | 2449 Boca Chica Blvd Ste C, Brownsville, TX 78521-2368 | 2016-05-26 |
| 1104216589 | Sunrise Physicians Pa | Internal Medicine | 425 E Los Ebanos Blvd Ste 100, Brownsville, TX 78520-8482 | 2015-01-23 |
| 1477785897 | Lilia Hortencia Hernandez | Internal Medicine | 302 Lorenaly Dr Ste G, Brownsville, TX 78526-4332 | 2009-08-18 |
| 1265679625 | Diana Emilia Carubba | Internal Medicine | 130 Uptown Ave, Brownsville, TX 78520 | 2009-01-07 |
| 1417193954 | Irina A. Minina, Md, Pllc | Internal Medicine | 5241 Wilderness Drive, Brownsville, TX 78526-3937 | 2009-01-06 |
| 1609024108 | M & M South At Clinica Santa Maria, LLP | Internal Medicine | 1474 W Price Rd # 602, Brownsville, TX 78520-8687 | 2008-09-09 |
| 1083886303 | Graciela M Leija Md Pa | Internal Medicine | 95 E. Price Rd., Ste. E, Brownsville, TX 78521-3565 | 2008-03-26 |
| 1477724888 | Christian Edward Ellis | Internal Medicine | 100 E Alton Gloor Blvd # A, Brownsville, TX 78526-3328 | 2008-03-13 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 38012 |
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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.