DR. JAMES JOSEPH WODA (NPI# 1609094424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609094424 |
| Entity Type | Individual |
| Full Name | DR. JAMES JOSEPH WODA |
| Credential | D.C |
| Practice Address |
1039 Washington St Ste 2 Dearborn MI 48124-2016 |
| Practice Telephone | 3137248925 |
| Practice Fax Number | 3137248926 |
| Mailing Telephone | 3137248925 |
| Mailing Fax Number | 3137248926 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007303 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3489405 | 05 | |
| MI | BLUE CROSS | 950H25371 | 01 |
| Street Address |
1039 WASHINGTON ST STE 2 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255725867 | Spine Rehab Pllc | Chiropractor | 13323 Michigan Ave, Dearborn, MI 48126-3540 | 2015-03-20 |
| 1538569587 | Core Health Pllc | Chiropractor | 13700 Michigan Ave Ste 200, Dearborn, MI 48126-3489 | 2014-08-27 |
| 1487832184 | Summer Fakhouri | Chiropractor | 6309 Schaefer Rd, Dearborn, MI 48126-2210 | 2008-02-05 |
| 1245416395 | Jacqueline Ann Kliemann | Chiropractor | 2959 S Telegraph Rd, Dearborn, MI 48124-3241 | 2008-01-18 |
| 1861532459 | Thea C Lewis | Chiropractor | 22190 Garrison St Ste 202, Dearborn, MI 48124-2235 | 2007-02-06 |
| 1477699270 | James Carl Rugenski | Chiropractor | 15608 Michigan Ave, Dearborn, MI 48126-2902 | 2007-01-29 |
| 1306901137 | Wyoming Chiropractic Health Clinic,p.c. | Chiropractor | 7601 Wyoming St, Dearborn, MI 48126-1638 | 2006-12-22 |
| 1669532156 | James Reilly Freas | Chiropractor | 24818 Michigan Ave, Dearborn, MI 48124-1713 | 2006-12-12 |
| 1871666594 | Ibrahim Husni Abdel-jawad | Chiropractor | 9925 Dix Ste 102, Dearborn, MI 48120-1593 | 2006-11-17 |
| 1356412852 | Sheila Marie Makhool | Chiropractor | 5452 Schaefer Rd, Dearborn, MI 48126-3223 | 2006-11-13 |
| Find all providers in DEARBORN | ||||
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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.