MR. RONALD JAY WOODALL JR. (NPI# 1629335948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629335948 |
| Entity Type | Individual |
| Full Name | MR. RONALD JAY WOODALL JR. |
| Credential | RN NPP |
| Practice Address |
38770 Garfield Rd Clinton Township MI 48038-6620 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 5864214204 |
| Practice Fax Number | 5864214222 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704201855 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302094 | Ronald Elley Woodall | Internal Medicine | 283 Sellers Road, Moselle, MS 39459-9408 | 2007-02-13 |
| Street Address |
38770 GARFIELD RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-6620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638564 | Tina Crocenzi | Nurse Practitioner | 38770 Garfield Rd, Ste 102, Clinton Township, MI 48038-6631 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923496 | Tiffany-janelle Calderon | Nurse Practitioner | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2019-10-15 |
| 1003392895 | Mikayla Armbruster | Nurse Practitioner | 15855 19 Mile Rd, Clinton Township, MI 48038 | 2018-07-14 |
| 1922523950 | Erin Onofrey | Nurse Practitioner | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-08-10 |
| 1134674666 | Melissa Marie Morrison | Nurse Practitioner | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-08-25 |
| 1639598352 | Marcia Camero | Nurse Practitioner | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2014-04-09 |
| 1255681458 | Rinu Liju Mathew | Nurse Practitioner | 43171 Dalcoma Dr, Suite 3, Clinton Township, MI 48038-6307 | 2012-09-14 |
| 1508171117 | Jonathan T Shamass | Nurse Practitioner | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on MR. RONALD JAY WOODALL JR..
| 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.