MRS. TAMARA MICHELLE WOOD (NPI# 1508154956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508154956 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA MICHELLE WOOD |
| Credential | PA-C |
| Practice Address |
630 N Main St Williston FL 32696-1705 |
| Mailing Address |
911 S Main St Trenton FL 32693-3239 |
| Practice Telephone | 3525280587 |
| Practice Fax Number | 3524632726 |
| Mailing Telephone | 3524632374 |
| Mailing Fax Number | 3524634507 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9106033 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003937900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701501 | Tamara Wood | Massage Therapist | 45 Washington St, Conway, NH 03818-6031 | 2018-05-21 |
| 1689976490 | Tamara Wood | Speech-Language Pathologist | 3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 | 2010-11-30 |
| Street Address |
630 N MAIN ST |
| City | WILLISTON |
| State | FL |
| Zip Code | 32696-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879158 | Stephen S Falkowski | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2006-02-08 |
| 1437780764 | Chantal Marie Nichols | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2020-01-27 |
| 1174181333 | Tonya L Jones | Nurse Practitioner | 630 N Main St, Williston, FL 32696-1705 | 2019-06-03 |
| 1730619594 | Catherine Alexandra Koubek | Dentist | 630 N Main St, Williston, FL 32696-1705 | 2017-06-14 |
| 1396280103 | Shonverea S Robinson | Registered Nurse | 630 N Main St, Williston, FL 32696-1705 | 2017-01-03 |
| 1659620409 | Carmen I Tozzo Pa | Psychologist | 630 N Main St, Williston, FL 32696-1705 | 2012-09-06 |
| 1720313950 | Elizabeth Eddins Thompson | Nurse Practitioner | 630 N Main St, Williston, FL 32696-1705 | 2009-10-06 |
| 1255577631 | Trenton Medical Center Inc | Clinic/Center | 630 N Main St, Williston, FL 32696-1705 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
| 1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
| 1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
| 1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
| 1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
| 1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
| Find all providers in zip 32696 | ||||
| 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 |
|---|---|---|---|---|
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| 1528284270 | Christopher Joseph Hirsch | Physician Assistant | 111 W Noble Ave, Williston, FL 32696-2027 | 2007-04-18 |
| 1609972488 | John Coleman | Physician Assistant | 125 Sw 7th St, Williston, FL 32696-2403 | 2006-09-16 |
| 1366489122 | Johanna Hauser | Physician Assistant | 75 Talcott Rd, Suite 10, Williston, VT 05495-8121 | 2006-06-01 |
| 1801868005 | Patrick Cornelius Kearney | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2006-02-02 |
| 1417572942 | Zachary Nollet | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2020-06-10 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
| 1588162614 | Chad R Bowen | Physician Assistant | 3 4th St E, Williston, ND 58801-5350 | 2018-01-23 |
| 1346799400 | Kynzie Oliver | Physician Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2016-09-29 |
| 1407227101 | Carley Hennessy | Physician Assistant | 1700 11th St W, Williston, ND 58801-4500 | 2015-10-07 |
| Find all providers in WILLISTON | ||||
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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.