WILLIAM SHANE WOODALL (NPI# 1619209889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619209889 |
| Entity Type | Individual |
| Full Name | WILLIAM SHANE WOODALL |
| Credential | PA-C |
| Practice Address |
305 S Andrews Ave 601 Ft Lauderdale FL 33301-1859 |
| Mailing Address |
35 Venetian Way 94 Miami Beach FL 33139-8806 |
| Practice Telephone | 9547670273 |
| Mailing Telephone | 3059891135 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9104825 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720298375 | William Woodall Jr. | Family Medicine | 1005 W Market St, Suite 7, Athens, AL 35611-2454 | 2007-05-23 |
| 1578513925 | William Carvel Woodall IIi | Neurological Surgery | 3125 Independence Dr, Suite 200, Birmingham, AL 35209-4164 | 2006-05-10 |
| Street Address |
305 S ANDREWS AVE 601 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33301-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447442454 | New River Medexpress, Pllc | Nurse Practitioner | 305 S Andrews Ave, Suite 202, Ft Lauderdale, FL 33301-1859 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760503130 | Tamera Sansone | Physician Assistant | 3075 E Commercial Blvd # 1a, Ft Lauderdale, FL 33308-4311 | 2007-04-03 |
| 1134110356 | Phillip E Lewellen | Physician Assistant | 1995 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1147 | 2005-11-04 |
| 1932523925 | Andrea Mcglone | Physician Assistant | 2700 W Cypress Creek Rd, Suite C100, Ft Lauderdale, FL 33309-1744 | 2014-02-11 |
| 1063753705 | Melissa Raspanti | Physician Assistant | 1601 S Andrews Ave Fl 2, Ft Lauderdale, FL 33316-2509 | 2013-03-05 |
| 1871824771 | Veronica O'connor | Physician Assistant | 1330 Riverland Rd, Ft Lauderdale, FL 33312-2961 | 2010-01-18 |
| 1194826602 | Daniel Nathan Brown | Physician Assistant | 6405 N Federal Hwy, Suite 205, Ft Lauderdale, FL 33308-1412 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | FT LAUDERDALE |
| Zip Code | 33301 |
Please comment or provide details below to improve the information on WILLIAM SHANE WOODALL.
| 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.