MARY ANN WOODRUFF (NPI# 1508952680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508952680 |
| Entity Type | Individual |
| Full Name | MARY ANN WOODRUFF |
| Credential | MD |
| Practice Address |
1628 South Mildred #101 Tacoma WA 98465 |
| Mailing Address |
316 Martin Luther King Jr Way # 212 Tacoma WA 98405 |
| Practice Telephone | 2535648005 |
| Practice Fax Number | 2536270855 |
| Mailing Telephone | 2533835777 |
| Mailing Fax Number | 2536270855 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00026502 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 11300152 | 05 |
| Street Address |
1628 SOUTH MILDRED #101 |
| City | TACOMA |
| State | WA |
| Zip Code | 98465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164587184 | Brenda Lynne Wilder Sanders | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-12-27 |
| 1366538456 | John Clapper | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1073609160 | Gary Tart | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1063508158 | Cynthia Tammar Kertesz Fierstein | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1629202627 | Priyan Perera | Internal Medicine | 815 S Vassault St, Tacoma, WA 98465 | 2009-05-06 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| 1528299161 | Alycia Michelle Milan | Licensed Practical Nurse | 1201 S. Proctor, Comprehensive Mental Health Pearl Street Center, Tacoma, WA 98465 | 2009-07-30 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1003357427 | Alexander L Bowers | Pediatrics | 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-1000 | 2017-03-18 |
| 1063873933 | Paul Patterson | Pediatrics | 9040 Jackson Ave Department of Pediatrics Mamc, Tacoma, WA 98431-0001 | 2016-03-18 |
| 1730560731 | Danielle Ashley Coleman | Pediatrics | 316 Martin Luther King Jr Way Ste 212, Tacoma, WA 98405-4254 | 2015-06-15 |
| 1881013860 | Amanda P Williams | Pediatrics | 317 Martin L King Jr Way, Tacoma, WA 98405-4234 | 2014-04-07 |
| 1174966477 | Matthew Timlin | Pediatrics | 9040 Jackson Ave Pediatric Critical Care Dept, Tacoma, WA 98431-1100 | 2013-04-17 |
| 1699006320 | Charlotte Schnellbacher | Pediatrics | Madigan Army Medical Center Pediatric Clinic, Bldg 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2010-01-20 |
| 1205096260 | Susan M Mosier | Pediatrics | 9040 Jackson Ave Department of Pediatrics, Tacoma, WA 98431 | 2008-06-12 |
| 1609061605 | Alan Heckler | Pediatrics | Madigan Healthcare System Dept of Pediatrics, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2007-09-12 |
| 1023216983 | Kathryn Taylor Gattone | Pediatrics | Fitzsimmons Dr Bldg 9040, Attn: Mchj-p, Tacoma, WA 98431-0001 | 2007-07-03 |
| 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.