MATTHEW SHAUN WOODRUFF (NPI# 1346619558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346619558 |
| Entity Type | Individual |
| Full Name | MATTHEW SHAUN WOODRUFF |
| Credential | IDC |
| Practice Address |
Post Office Box 66038 Marine Aircraft Group 31 Beaufort SC 29904-6038 |
| Mailing Address |
43 White Pond Blvd Beaufort SC 29902-3338 |
| Practice Telephone | 8432286257 |
| Mailing Telephone | 2105513162 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104255009 | Matthew Woodruff | Physical Therapist | 359 Avalon Way, Brandon, MS 39047-7787 | 2013-11-01 |
| 1043360720 | Matthew S Woodruff | Physical Medicine & Rehabilitation | 2364 Redbud Dr, Howell, MI 48855-6410 | 2007-01-12 |
| 1235648221 | Matthew K Woodruff | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2017-09-22 |
| 1629220918 | Matthew D Woodruff | Occupational Therapist | 5521 W State St, Boise, ID 83703-3337 | 2008-10-17 |
| Street Address |
POST OFFICE BOX 66038 MARINE AIRCRAFT GROUP 31 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29904-6038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184090524 | Gordon Andrew Mcgarvey | Physical Therapist | 1 Pinckey Road, Beaufort, SC 29904 | 2015-08-20 |
| 1336539758 | James Connelly | General Practice | Geiger Blvd Building 598, Beaufort, SC 29904 | 2015-01-24 |
| 1619354040 | William S Magin | Military Health Care Provider | 598 Geiger Blvd, Marine Corps Air Station Beaufort, Beaufort, SC 29904 | 2015-05-06 |
| 1346637949 | Henry Markley Gass Iv | General Practice | Geiger Blvd Building 598, Beaufort, SC 29904 | 2015-04-21 |
| 1255391538 | Branch Medical Clinic Mcas Beaufort | Clinic/Center | Bldg 598, Beaufort, SC 29904 | 2006-03-23 |
| 1811218936 | Daniel Bradley Algert | Family Medicine | 598 Geiger Blvd, Beaufort, SC 29904-5020 | 2010-06-14 |
| 1184827941 | Matthew Barnhart | Military Health Care Provider | Mcas Branch Health Clinic, Beaufort, SC 29904-5020 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473230 | Chadwick Counseling, Pllc | Clinic/Center | 105 Chelsea Cir, Beaufort, NC 28516-9001 | 2020-10-06 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1699380923 | Beaufort Center for Dentistry LLC | Clinic/Center | 1264 Ribaut Rd Ste 401, Beaufort, SC 29902-6129 | 2020-09-14 |
| 1457965394 | Bloom Language & Literacy Services | Clinic/Center | 1506 Prince St Ste A, Beaufort, SC 29902-4964 | 2020-09-08 |
| 1548874621 | Safe Harbour Counseling Services | Clinic/Center | 23 Little Creek Rd, Beaufort, SC 29907-1634 | 2020-09-04 |
| 1912510074 | Boost Behavioral Services LLC | Behavioral Analyst | 14b Marshellen Dr, Beaufort, SC 29902-6900 | 2020-08-28 |
| 1437761160 | From Surviving To Thriving, LLC | Counselor | 35 Parris Island Gtwy # 104, Beaufort, SC 29906-4244 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1083225221 | Emerge Counseling & Art Therapy | Clinic/Center | 19 Marina Village Ln. Unit 27, Beaufort, SC 29906-2990 | 2020-08-12 |
| Find all providers in BEAUFORT | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184827941 | Matthew Barnhart | Military Health Care Provider | Mcas Branch Health Clinic, Beaufort, SC 29904-5020 | 2007-06-08 |
| 1730484486 | Gerald Dickson Ramones | Military Health Care Provider | 1 Pinckney Blvd, Mcrd Parris Island, Bhc Parris Island, Beaufort, SC 29902-6122 | 2011-01-11 |
| 1194999185 | Ernst Schettini | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-04-22 |
| 1144408501 | Matthew David Hall | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-02-07 |
| 1588690465 | Michael Owen Congdon | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2006-06-23 |
| 1871561274 | Robert Lee Roseberry | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144821 | Joshua William Crum | Military Health Care Provider | 7 Saddlemount Ln, Simpsonville, SC 29680-7056 | 2012-04-26 |
| 1114295052 | Juan Camachoaclderon | Military Health Care Provider | 204 Maplewood Ridge, Summerville, SC 29483 | 2011-12-07 |
| 1467783506 | Dennis Jason Green | Military Health Care Provider | 1050 Remount Rd, North Charleston, SC 29406-3544 | 2010-01-28 |
| 1861461667 | Cheryl R Murphy | Military Health Care Provider | 669 Blvd De France, Branch Health Clinic, Parris Island, SC 29905-9501 | 2006-03-15 |
| 1164499513 | Timothy Macon | Military Health Care Provider | 123 Sully St, Goose Creek, SC 29445-5447 | 2006-03-03 |
| 1932281102 | Kelly Lynn Youngerman | Military Health Care Provider | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2006-10-19 |
| 1922068147 | Christopher Peterson | Military Health Care Provider | 3600 Rivers Ave, N Charleston, SC 29405-7747 | 2006-03-23 |
| 1023085008 | Edwin Ray Lashley | Military Health Care Provider | Naval Hospital, 3600 Rivers Ave, N. Charleston, SC 29405 | 2006-03-08 |
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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.