WOODLAWN HOSPITAL (NPI# 1215569470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215569470 |
| Entity Type | Organization |
| Organization Name | WOODLAWN HOSPITAL |
| Practice Address |
1400 E 9th St Rochester IN 46975-8931 |
| Practice Telephone | 5742232244 |
| Practice Fax Number | 5742241103 |
| Mailing Telephone | 5742232244 |
| Mailing Fax Number | 5742241103 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | JOHN KRAFT (CFO) |
| Authorized Official Telephone | 5742241118 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOODLAWN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rochester Surgical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1114254190 | Woodlawn Hospital | Family Medicine | 100 E Dunn Street, Fulton, IN 49631 | 2009-11-11 |
| 1326180803 | Woodlawn Hospital | Skilled Nursing Facility | 3136 Goeglein Rd, Fort Wayne, IN 46815-6685 | 2007-02-13 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1043382625 | Woodlawn Hospital | Nurse Practitioner | 105 St Rd 14 N, Akron, IN 46910 | 2006-11-15 |
| 1639241227 | Woodlawn Hospital | Family Medicine | 530 N Michigan, Argos, IN 46501 | 2006-11-15 |
| 1285723734 | Woodlawn Hospital | Assisted Living Facility | 337 Grace Village Dr, Winona Lake, IN 46590-5774 | 2006-10-12 |
| 1073557617 | Woodlawn Hospital | Assisted Living Facility | 2201 East St, North Manchester, IN 46962-9654 | 2006-06-15 |
| 1235113945 | Woodlawn Hospital | Skilled Nursing Facility | 221 W Division St, Demotte, IN 46310-9566 | 2005-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WOODLAWN HOSPITALITY GROUP LLC | 6719 Ne 18th Ave, Portland, OR 97211 |
| System for Award Management (SAM) Entities | WOODLAWN HOSPITALITY, LLC | 8632 Woodlawn Ct, Alexandria, VA 22309 |
| Street Address |
1400 E 9TH ST |
| City | ROCHESTER |
| State | IN |
| Zip Code | 46975-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058189 | John E Nile | Surgery | 1400 E 9th St, Rochester, IN 46975-8931 | 2005-07-26 |
| 1821615626 | Sarah Wild | Nurse Anesthetist, Certified Registered | 1400 E 9th St, Rochester, IN 46975-8931 | 2020-06-29 |
| 1699338574 | Woodlawn Hospital | Clinic/Center | 1400 E 9th St, Rochester, IN 46975-8931 | 2019-04-17 |
| 1629547674 | Bradley Marshaall Rogers | Physical Therapist | 1400 E 9th St, Rochester, IN 46975-8931 | 2018-11-20 |
| 1477970978 | Kelsey Heckaman | Nurse Practitioner | 1400 E 9th St, Rochester, IN 46975-8931 | 2014-03-21 |
| 1922430826 | Holly K Cumberland | Registered Nurse | 1400 E 9th St, Rochester, IN 46975 | 2013-08-01 |
| 1932542263 | Brian Neal | Emergency Medicine | 1400 E 9th St, Rochester, IN 46975 | 2013-04-17 |
| 1245464312 | Woodlawn Hospital | Surgery | 1400 E 9th St, Rochester, IN 46975-8931 | 2009-05-05 |
| 1235380742 | Laura L Johnson | Nurse Practitioner | 1400 E 9th St, Rochester, IN 46975-8931 | 2008-10-02 |
| 1457555716 | Joseph Peter Binfet | Family Medicine | 1400 E 9th St, Rochester, IN 46975-8931 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| 1093117061 | Brittainey Neese | Pharmacist | 2240 E. Peace Tree Village, Rochester, IN 46975 | 2014-09-22 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1679779367 | Hope Hospice, Inc. | Home Health | 2316 E State Rd 14, Rochester, IN 46975 | 2007-06-21 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1134297930 | Timothy Ravencroft | Dentist | 115 E 7th Street, Rochester, IN 46975 | 2006-12-01 |
| 1720172349 | Patricia J Heiden | Social Worker | 618 E. Ninth St., Rochester, IN 46975 | 2006-10-03 |
| 1760583355 | Julius Salazar Sitjar | Internal Medicine | 2671 Ft Wayne Rd, Rochester, IN 46975 | 2006-09-26 |
| 1922016260 | Hubert Ray Hazen | Dentist | 1329 Main Street, Rochester, IN 46975 | 2006-08-03 |
| 1366401812 | Cynthia A Laycock | Optometrist | 2260 Main St., Rochester, IN 46975 | 2006-03-22 |
| Find all providers in zip 46975 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1134567944 | Brent Paul Miller | Surgery | 99 Canal Landing Blvd Ste 6, Rochester, NY 14626-5112 | 2013-06-13 |
| 1235428855 | Mohamed Fadhl Algahim | Surgery | 601 Elmwood Ave Box Surg/cardiac, Rochester, NY 14642-3548 | 2011-04-04 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1427225317 | Bala Gangadhara Reddy Thatigotla | Surgery | 1415 Portland Ave Ste 225, Rochester, NY 14621-3039 | 2008-05-11 |
| 1184824294 | Alok D Gandhi | Surgery | 1415portland Ave, Suite 225, Rochester, NY 14621-3001 | 2007-07-18 |
| 1790896330 | Mehdi Shemirani | Surgery | 1360 Portland Avenue, Suite 202, Rochester, NY 14621-3002 | 2006-08-31 |
| 1386662591 | Vincent Chang | Surgery | 1299 Portland Ave Ste 3, Rochester, NY 14621-2727 | 2006-07-17 |
| Find all providers in ROCHESTER | ||||
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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.