DI'ARA WOODS (NPI# 1497115497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497115497 |
| Entity Type | Individual |
| Full Name | DI'ARA WOODS |
| Credential | PA-C |
| Practice Address |
1605 Martin Springs Dr Ste 230 Rolla MO 65401-2982 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 5734586350 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | PENDING | 01 |
| MO | PENDING | 05 |
| Street Address |
1605 MARTIN SPRINGS DR STE 230 |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024468 | William S Anast | Anesthesiology | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2005-06-22 |
| 1477092906 | Amanda Creamer | Nurse Practitioner | 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2982 | 2017-02-16 |
| 1851839716 | Richard Siska Sr. | Radiologic Technologist | 1605 Martin Springs Dr, Ste 110, Rolla, MO 65401-2982 | 2017-02-10 |
| 1922457712 | Madhura G Joag | Internal Medicine | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2016-06-13 |
| 1104260090 | Omofolarin Babatunji Fasuyi | Family Medicine | 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 | 2013-04-22 |
| 1790037950 | Lisa A Cunningham | Nurse Practitioner | 1605 Martin Springs Dr, Ste 250, Rolla, MO 65401-2931 | 2012-10-11 |
| 1043562358 | Mercy Hospital Lebanon | Clinic/Center | 1605 Martin Springs Dr, Rolla, MO 65401-2931 | 2012-10-10 |
| 1801148499 | Mercy Hospital Lebanon | Radiology | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2012-10-08 |
| 1265787741 | Cheri Berti | Pharmacist | 1605 Martin Springs Dr, Suite 220, Rolla, MO 65401-2931 | 2012-07-19 |
| 1720347867 | Abigail Crisostomo | Family Medicine | 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2931 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| 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 |
|---|---|---|---|---|
| 1700867397 | Lavonne M Charbonneau | Physician Assistant | 114 3rd St Ne, Rolla, ND 58367-7137 | 2005-11-10 |
| 1508472473 | Christine Genevieve Hedstrom | Physician Assistant | 114 3rd St Ne, Rolla, ND 58367-7137 | 2020-09-16 |
| 1205306156 | Marisa Ann Yates | Physician Assistant | 910 W 10th St, Rolla, MO 65409-6519 | 2018-12-03 |
| 1295268928 | Morton County Hospital | Physician Assistant | 415 Washington, Rolla, KS 67954-0098 | 2017-04-10 |
| 1780120980 | Morgan Lange | Physician Assistant | 213 2nd Ave Ne, Rolla, ND 58367-7153 | 2017-01-11 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1992120281 | Adam Glenn Feigenbaum | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2014-02-24 |
| 1407195498 | Phelps Emergency Group LLC | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2013-02-11 |
| 1376880237 | Nicole Lawson | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2013-01-12 |
| 1053638577 | Jennifer Lynn Bremer | Physician Assistant | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2010-04-23 |
| Find all providers in ROLLA | ||||
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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.