STACEY LYNNE WOODRUFF (NPI# 1598969388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598969388 |
| Entity Type | Individual |
| Full Name | STACEY LYNNE WOODRUFF |
| Credential | MD |
| Practice Address |
1329 Lusitana St Suite 703 Honolulu HI 96813-2429 |
| Practice Telephone | 8085262477 |
| Practice Fax Number | 8085283671 |
| Mailing Telephone | 8085262477 |
| Mailing Fax Number | 8085283671 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD-17258 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HAWAII MEDICAL LICENSE | MD-17258 | 01 |
| TX | TEXAS MEDICAL LICENSE | M9748 | 01 |
| Street Address |
1329 LUSITANA ST SUITE 703 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021878 | Terry A Vernoy | Orthopaedic Surgery | 1329 Lusitana St, Ste 206, Honolulu, HI 96813-2411 | 2005-05-24 |
| 1235639386 | Briana Kamele King | Dietitian, Registered | 1329 Lusitana St, Honolulu, HI 96813-2429 | 2018-02-15 |
| 1700396124 | Paul Okada-coelho | Clinical Nurse Specialist | 1329 Lusitana St, 409, Honolulu, HI 96813 | 2017-10-11 |
| 1962953372 | Hawaii Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 1329 Lusitana St, Suite 102, Honolulu, HI 96813-2429 | 2016-10-20 |
| 1033565981 | Hawaii Cancer Care Inc | Specialist | 1329 Lusitana St, Ste 307, Honolulu, HI 96813 | 2016-05-10 |
| 1992179683 | Gregg M Yamada, Md, Inc | Internal Medicine | 1329 Lusitana St, # 301, Honolulu, HI 96813-2429 | 2015-11-18 |
| 1255704458 | Shaina M. Sonobe Md, Inc | Anesthesiology | 1329 Lusitana St, Suite 604, Honolulu, HI 96813-2431 | 2015-11-10 |
| 1487041307 | Pacific Diabetes and Endocrine Center Inc | Internal Medicine | 1329 Lusitana St, Suite 807, Honolulu, HI 96813-2429 | 2015-04-17 |
| 1912390386 | Roy K Esaki Md | Anesthesiology | 1329 Lusitana St, Suite 604, Honolulu, HI 96813-2429 | 2015-03-10 |
| 1063815678 | Gwen Auyong Fnp LLC | Nurse Practitioner | 1329 Lusitana St, Suite 409, Honolulu, HI 96813-2429 | 2014-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689108235 | Jason Spiker | Surgery | 885 Moaniala St, Honolulu, HI 96821-2549 | 2017-04-19 |
| 1457791717 | Eva Kiezik | Surgery | 1441 Kapiolani Blvd Ste 1720, Honolulu, HI 96814-4407 | 2013-07-01 |
| 1790055564 | Charles Peter Carroll | Surgery | 974 Kealaolu Avenue, Honolulu, HI 96816 | 2012-01-10 |
| 1114247988 | Edward Ling Sung Jim | Surgery | 1488 Ihiloa Loop, Honolulu, HI 96821-1347 | 2010-06-03 |
| 1912226671 | Eric Taehyun Chang | Surgery | 550 S Beretania St Ste 509, Honolulu, HI 96813-2496 | 2010-05-20 |
| 1871819417 | Lung-yi Lee | Surgery | 550 S Beretania St Ste 403, Honolulu, HI 96813-2496 | 2010-04-07 |
| 1366678443 | Manami Okado | Surgery | 425 N Kuakini St, #601, Honolulu, HI 96817-2357 | 2009-06-03 |
| 1699976308 | Michael Hayashi | Surgery | 1356 Lusitana St Fl 6, Department of Surgery, Honolulu, HI 96813-2409 | 2007-05-30 |
| 1184835316 | Richard K.s. Pang | Surgery | 3402 Niolopua Dr, Honolulu, HI 96817-1054 | 2007-05-28 |
| 1275666729 | Kristine Gebrowsky | Surgery | 4826 Matsonia Dr, Honolulu, HI 96816-4014 | 2007-03-13 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on STACEY LYNNE WOODRUFF.
| 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.