RONALD ELLEY WOODALL (NPI# 1548302094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548302094 |
| Entity Type | Individual |
| Full Name | RONALD ELLEY WOODALL |
| Credential | MD |
| Practice Address |
283 Sellers Road Moselle MS 39459-9408 |
| Mailing Address |
Po Box 40 Moselle MS 39459 |
| Practice Telephone | 6015821669 |
| Practice Fax Number | 6015430695 |
| Mailing Telephone | 6015821669 |
| Mailing Fax Number | 6015430695 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
09208 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00013229 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629335948 | Ronald Jay Woodall Jr. | Nurse Practitioner | 38770 Garfield Rd, Clinton Township, MI 48038-6620 | 2012-04-12 |
| Street Address |
283 SELLERS ROAD |
| City | MOSELLE |
| State | MS |
| Zip Code | 39459-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548744 | Brent Fondshay Broome | Custodial Care Facility | 6 David Patterson Rd, Moselle, MS 39459 | 2010-05-07 |
| 1821402967 | Evelyn Rebecca Becky Wilson | Occupational Therapy Assistant | 710 Sellers Rd, Moselle, MS 39459-9419 | 2014-06-17 |
| 1841711546 | Mississippi Baptist Ministry for Children and Families Inc | Assisted Living Facility | 6 David Patterson Rd, Moselle, MS 39459-9439 | 2017-07-03 |
| 1649790031 | Mississippi Baptist Ministry for Children and Families Inc | Peer Specialist | 6 David Patterson Rd, Moselle, MS 39459-9439 | 2017-06-27 |
| 1457393217 | Roy White | Psychologist | 3 Clearview Cir, Moselle, MS 39459-9520 | 2006-06-12 |
| 1821503079 | Janice Baxter | Marriage & Family Therapist | 3 Clearview Cir, Moselle, MS 39459-9520 | 2017-12-11 |
| 1801313226 | Carol Brown | Counselor | 3 Clearview Cir, Moselle, MS 39459-9520 | 2017-08-25 |
| 1508389487 | Alayna Bryant | Counselor | 3 Clearview Cir, Moselle, MS 39459-9520 | 2017-07-21 |
| 1003339052 | Jessica Baxley | Marriage & Family Therapist | 3 Clearview Cir, Moselle, MS 39459-9520 | 2017-07-21 |
| 1568825479 | Christy Oberst | Counselor | 3 Clearview Cir, Moselle, MS 39459-9520 | 2016-03-30 |
| Find all providers in zip 39459 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434356 | Prime Heart and Vascular Care | Internal Medicine | 1310 Highway 72 E, Corinth, MS 38834-6524 | 2020-07-14 |
| 1912399437 | Cardiovascular Solutions of Mississippi, LLC | Internal Medicine | 657 W Monroe St, Grenada, MS 38901-5115 | 2015-02-19 |
| 1124436977 | Crescentworld Enterprises, Pllc | Internal Medicine | 670 Highway 51 Ste B, Ridgeland, MS 39157-2138 | 2014-07-24 |
| 1982011326 | Gulf Coast Heart Institute | Internal Medicine | 2915 Shortcut Rd, Pascagoula, MS 39567-1809 | 2014-07-17 |
| 1891100129 | William Hill | Internal Medicine | 7 Holly Ct, Gulfport, MS 39503-6211 | 2014-06-25 |
| 1609296037 | Hugo C. Nievas, Md, Pa | Internal Medicine | 1017 44th Ave, Gulfport, MS 39501-2547 | 2014-04-24 |
| 1821415357 | Michael Payment Md Cardiology Pa | Internal Medicine | 4533 13th St, Gulfport, MS 39501-2516 | 2014-03-21 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1306165717 | Natchez Medical Foundation Inc. | Internal Medicine | 46 Sgt. S. Prentiss Drive, Suite 201, Natchez, MS 39120 | 2010-05-25 |
| Find all providers with the same taxonomy | ||||
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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.