MR. GARY DONALD WOODIWISS (NPI# 1225122468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225122468 |
| Entity Type | Individual |
| Full Name | MR. GARY DONALD WOODIWISS |
| Credential | PA-C |
| Practice Address |
13403 Boyette Rd Riverview FL 33569-8742 |
| Practice Telephone | 8136541775 |
| Practice Fax Number | 8136519082 |
| Mailing Telephone | 8136541775 |
| Mailing Fax Number | 8136519082 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 91-03542 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13403 BOYETTE RD |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33569-8742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356677 | Margaret A Colleran | Internal Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2005-06-15 |
| 1285002816 | Take Control Physical Therapy Services, LLC | Physical Therapist | 13403 Boyette Rd, Take Control Physical Therapy, Riverview, FL 33569-8742 | 2015-09-14 |
| 1144509860 | Craig Randall Martin | Internal Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2011-08-11 |
| 1639304389 | Ren Bernardo | Family Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2009-05-26 |
| 1518054360 | Alfreda Sonneveldt | Counselor | 13403 Boyette Rd, Riverview, FL 33569 | 2006-10-05 |
| 1821004839 | Nancy Rodriguez | Physical Therapist | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-07-31 |
| 1902822323 | Jaima Peyton Woodiwiss | Family Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-07-15 |
| 1720044027 | John E Cameron | Physician Assistant | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-04-25 |
| 1831161140 | Andrew David Tagle | Nurse Practitioner | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-02-02 |
| 1104826726 | Cheryl Lee Sellers | Family Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1376023945 | Lithia Assisted Living LLC | Assisted Living Facility | 13470 Boyette Rd, Riverview, FL 33569 | 2018-08-14 |
| 1992223911 | Flobert Lubin | Registered Nurse | 11135 Lakeside Vista Dr, Riverview, FL 33569 | 2017-08-30 |
| 1467908087 | Publix Super Markets Inc | Pharmacy | 11460 S Us Highway 301, Riverview, FL 33569 | 2016-09-01 |
| 1669831004 | Sandra M Santos | Dentist | 11478 S Us Hwy 301 S, Riverview, FL 33569 | 2016-02-13 |
| 1740509876 | Balanced Home Healthcare, Inc. | Home Health | 10855 Boyette Road, Riverview, FL 33569 | 2010-05-28 |
| 1801114160 | Zahid I Choudary | Psychiatry & Neurology | American Telestroke and Neurology Inc, 11922 Boyette Rd, Riverview, FL 33569 | 2010-05-12 |
| 1033348974 | Keri Ann Herro | Chiropractor | 11974 Balm Riverview Road, Riverview, FL 33569 | 2009-07-14 |
| 1689838666 | Danoosh Shiravand Amrooei | Dentist | 10845 W Bloomingdale Ave, Riverview, FL 33569 | 2008-07-18 |
| Find all providers in zip 33569 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042574 | Erin Dominique Diskin | Physician Assistant | 7244 Bucks Ford Dr, Riverview, FL 33578-8378 | 2020-10-27 |
| 1740844455 | Jason Scott Abraham | Physician Assistant | 10406 River Bream Dr, Riverview, FL 33569-2704 | 2019-04-29 |
| 1225512791 | Schenell Thompson | Physician Assistant | 9930 Jonas Salk Dr Apt 410, Riverview, FL 33578-7445 | 2018-09-20 |
| 1598166266 | Alex David Rodriguez | Physician Assistant | 9598 Us Highway 301 S, Riverview, FL 33578-5429 | 2014-09-11 |
| 1568749034 | Robert Olton | Physician Assistant | 12128 Streambed Dr, Riverview, FL 33579-9336 | 2011-11-10 |
| 1386898237 | Angela M. Mcclees | Physician Assistant | 10647 Big Bend Rd Ste 212, Riverview, FL 33579-7176 | 2008-11-05 |
| 1609072164 | Jeffery L Harre | Physician Assistant | 6043 Winthrop Commerce Ave., Suite 201, Riverview, FL 33578-4274 | 2007-06-22 |
| 1639147333 | Paula E. Rooney | Physician Assistant | 4035 Crescent Park Dr, Riverview, FL 33578-3605 | 2006-03-09 |
| 1457357949 | Joseph M Merritt | Physician Assistant | 10141 Big Bend Rd # 103, Riverview, FL 33578-7419 | 2005-06-21 |
| 1306453774 | Hannah M Newell | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2020-09-29 |
| Find all providers in RIVERVIEW | ||||
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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.