DR. NICOLE WOODSON-DEFAUW (NPI# 1548751555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548751555 |
| Entity Type | Individual |
| Full Name | DR. NICOLE WOODSON-DEFAUW |
| Credential | MD |
| Practice Address |
200 Hawkins Dr. Dept of Family Medicine & Psychiatry Iowa City IA 52242-1009 |
| Practice Telephone | 3193847222 |
| Practice Fax Number | 3193847822 |
| Mailing Telephone | 3193847222 |
| Mailing Fax Number | 3193847822 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R-11222 | IA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R-11222 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
200 HAWKINS DR. DEPT OF FAMILY MEDICINE & PSYCHIATRY |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368068 | Ryan Michael Carnahan | Pharmacist | 200 Hawkins Dr., C 21-h Gh, Iowa City, IA 52242 | 2005-06-30 |
| 1053976175 | Miles Jonathan Klimara | Otolaryngology | 200 Hawkins Dr., Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2019-05-03 |
| 1033697586 | Brittany M Mcgraw | Social Worker | 200 Hawkins Dr., C124 Gh, Iowa City, IA 52242-1009 | 2018-08-06 |
| 1912400813 | Karl Kristian Meierding | Obstetrics & Gynecology | 200 Hawkins Dr., Dept of Obstetrics & Gynecology, Iowa City, IA 52242-1009 | 2018-03-16 |
| 1457874745 | Colin Gold | Neurological Surgery | 200 Hawkins Dr., Iowa City, IA 52242 | 2017-07-19 |
| 1124556923 | Ryan Bradley Smith | Otolaryngology | 200 Hawkins Dr., Dept. of Otolaryngology-head & Neck Surgery, Iowa City, IA 52242-1009 | 2017-05-24 |
| 1689061095 | Shubha Deep Roy | Internal Medicine | 200 Hawkins Dr., E 315 Gh, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2015-04-23 |
| 1073951059 | Michael Larson Haugsdal | Obstetrics & Gynecology | 200 Hawkins Dr., Uihc, Dept of Ob/gyn, Iowa City, IA 52241-1009 | 2013-06-12 |
| 1376898346 | Kevin Roeder | Pharmacist | 200 Hawkins Dr., Iowa City, IA 52242-1097 | 2012-07-17 |
| 1154697100 | Benjamin Asher Farber | Surgery | 200 Hawkins Dr., Dept of Surgery, Iowa City, IA 52242-1009 | 2012-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| 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 |
|---|---|---|---|---|
| 1972162519 | Stephanie Anne Pickthorn | Family Medicine | 200 Hawkins Dr Dept Family, Iowa City, IA 52242-1009 | 2019-06-07 |
| 1326527284 | Ramy Salib | Family Medicine | 1000 Oakcrest St, Iowa City, IA 52246-5194 | 2018-08-11 |
| 1932685013 | Christian Ann Mann | Family Medicine | 826 Basswood Ln, Iowa City, IA 52246-5810 | 2018-07-12 |
| 1255760260 | Mintesinot Fitamo | Family Medicine | 825 Oakcrest St Apt 6, Iowa City, IA 52246-3421 | 2013-11-11 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1336410471 | Catherine Dehaven Swanson | Family Medicine | 1717 Winston Dr, Iowa City, IA 52245-6047 | 2012-01-20 |
| 1881978047 | Bradley Center PC | Family Medicine | 1527 S Gilbert St, Iowa City, IA 52240-4367 | 2011-10-06 |
| 1205159688 | Mei Shi | Family Medicine | 1067 Ryan Ct, Iowa City, IA 52246-2847 | 2010-03-12 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1972720274 | Cecilia M Redmond-norris | Family Medicine | 2440 Towncrest Dr, Iowa City, IA 52240-6622 | 2007-04-19 |
| Find all providers in IOWA CITY | ||||
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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.