WALTON PRESTON WOODALL JR. (NPI# 1477831295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477831295 |
| Entity Type | Individual |
| Full Name | WALTON PRESTON WOODALL JR. |
| Other Name | W. PRESTON WOODALL JR. |
| Credential | D.O. |
| Practice Address |
1102 N. Tacoma Ave Tacoma WA 98403-2931 |
| Practice Telephone | 2532740098 |
| Mailing Telephone | 2532740098 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP00000992 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1102 N. TACOMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98403-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336692482 | Tamara Paynter | Occupational Therapy Assistant | 15 North E Street, Apartment 38, Tacoma, WA 98403 | 2016-07-25 |
| 1457742280 | Zenergy Massage Clinic | Community Health Worker | 1310 N I St Suite B, Tacoma, WA 98403 | 2015-02-16 |
| 1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
| 1801036694 | Louie Gabriele Hallie | Social Worker | 2205 N. 30th St., Suite B, Tacoma, WA 98403 | 2009-03-06 |
| 1336385897 | Colleen Anne Young | Counselor | 2622 Mccarver St., Tacoma, WA 98403 | 2009-01-05 |
| 1851503445 | Marilyn Delucia | Specialist | 105 Tacoma Ave N, Tacoma, WA 98403 | 2007-05-04 |
| 1396869855 | Charles Wayne Winchell | Massage Therapist | 722 Martin Luther King Ave., Tacoma, WA 98403 | 2007-03-19 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1790840965 | Jonathan L Ritson | Physical Medicine & Rehabilitation | 2200 North 30th Street, Suite 201, Tacoma, WA 98403 | 2006-12-27 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| Find all providers in zip 98403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023534286 | Willa Alise Marinov | Family Medicine | 9040 Jackson Avenue Department of Family Medicine, Tacoma, WA 98431-0001 | 2017-08-19 |
| 1487186789 | Winnie Kirkpatrick Tsai | Family Medicine | 320 N Tacoma Ave Apt 502, Tacoma, WA 98403-2764 | 2017-03-28 |
| 1861842775 | Jessica Coulter | Family Medicine | Madigan Army Hospital 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2016-06-21 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1497139943 | Whitney Elizabeth Hine | Family Medicine | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2015-07-15 |
| 1871998138 | Stephen B Hillis M.d., P.s.,inc. | Family Medicine | 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 | 2014-10-29 |
| 1487919965 | Angela Marie Dunn | Family Medicine | 9040 Jackson Ave Fmc, Tacoma, WA 98431-5600 | 2012-07-10 |
| 1760745988 | Mai Vi Ha Hoang | Family Medicine | 1717 Yakima Ave # Ms 01-36, Tacoma, WA 98405-4474 | 2012-06-21 |
| 1063718492 | James M. Foss M. D. | Family Medicine | 13410 Pacific Ave S, Tacoma, WA 98444-4866 | 2011-02-02 |
| 1255635843 | Ronald Schubert Md Pllc | Family Medicine | 1811 Mariner Cir Ne, Tacoma, WA 98422-3470 | 2010-12-22 |
| Find all providers in TACOMA | ||||
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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.