DR. PAUL BLAKE WOODEN (NPI# 1538148978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538148978 |
| Entity Type | Individual |
| Full Name | DR. PAUL BLAKE WOODEN |
| Credential | MD |
| Practice Address |
115 Mt Blue Cir Suite 3 Farmington ME 04938-6239 |
| Practice Telephone | 2077786800 |
| Practice Fax Number | 2077789800 |
| Mailing Telephone | 2077786800 |
| Mailing Fax Number | 2077789800 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 014165 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 335310099 | 05 |
| Street Address |
115 MT BLUE CIR SUITE 3 |
| City | FARMINGTON |
| State | ME |
| Zip Code | 04938-6239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347900 | Jean Marie Antonucci | Family Medicine | 115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239 | 2005-06-27 |
| 1033549357 | Kathleen Harvey | Social Worker | 115 Mt Blue Cir, Farmington, ME 04938-6276 | 2013-11-22 |
| 1659365641 | Kimberly K Gooch | Internal Medicine | 115 Mt Blue Cir, Farmington, ME 04938-6239 | 2005-09-06 |
| 1164420907 | Sharmila Das-wattley | Podiatrist | 115 Mt Blue Cir, Farmington, ME 04938-6239 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1538615224 | Woodlands Senior Living of Farmington, LLC | Alzheimer Center (Dementia Center) | 175 Knowlton Corner Rd., Farmington, ME 04938 | 2016-09-01 |
| 1740617158 | Jason Pratt | Pharmacist | 624 Wilton Road, Farmington, ME 04938 | 2013-09-30 |
| 1194050195 | New Communities, Inc. | Assisted Living Facility | 136 Rosewood Drive, Farmington, ME 04938 | 2009-10-08 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1649412602 | Work First, Inc. | Day Training, Developmentally Disabled Services | 309 Wilton Road, 309 Wilton Road, Farmington, ME 04938 | 2009-04-06 |
| 1598943110 | Peter W Swallow | Dentist | 107 Box Shop Hill, Farmington, ME 04938 | 2008-02-06 |
| 1477620706 | Scott D Christie | Psychologist | 176 Livermore Falls Road, Farmington, ME 04938 | 2006-11-30 |
| 1104900836 | Angela M Thompson | Social Worker | 144 High Street, Ste 1, Farmington, ME 04938 | 2006-10-25 |
| 1124101464 | Evergreen Behavioral Services | Clinic/Center | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-10-23 |
| Find all providers in zip 04938 | ||||
| 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 |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1063891570 | Jantzen T Slater | Family Medicine | 199 E. Main St., Farmington, AR 72730-3077 | 2015-05-29 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 04938 |
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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.