GREGORY K WOODARD (NPI# 1649563651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649563651 |
| Entity Type | Individual |
| Full Name | GREGORY K WOODARD |
| Credential | FNP |
| Practice Address |
133 Route 3 Dededo GUAM 96929 UM |
| Mailing Address |
Po Box 3830 Hagatna GU 96932-3830 |
| Practice Telephone | 6716455500 |
| Practice Fax Number | 6716455549 |
| Mailing Telephone | 6716455500 |
| Mailing Fax Number | 6716455549 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN0000015809 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN0000015809 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000015809 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RE1895 / NP0129 | GU | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000015809 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255885356 | Gregory John Woodard | Physical Therapist | 695 Henderson Dr, Cartersville, GA 30120-3738 | 2016-08-08 |
| 1598845380 | Gregory A. Woodard | Pharmacist | 110 N Waterloo St, Jackson, MI 49201-1738 | 2006-10-16 |
| Street Address |
133 ROUTE 3 |
| City | DEDEDO |
| State | GUAM |
| Zip Code | 96929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528058161 | Richard S Young | Radiology | 133 Route 3, Dededo, GU 96929-6911 | 2005-10-25 |
| 1427613660 | Cherry Ann Lopez Alamares | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-05-02 |
| 1265993737 | Marina Ng | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-03-27 |
| 1861958837 | Janice Roque Baldonado | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-14 |
| 1114483260 | Melliza Young | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-13 |
| 1861977266 | Elisabeth J Collins | Nurse Practitioner | 133 Route 3, Dededo, GU 96929-6911 | 2018-10-01 |
| 1407356272 | Nicole L.p Duenas | Speech-Language Pathologist | 133 Route 3, Dededo, GU 96929-6911 | 2018-02-18 |
| 1851803845 | Kathleen Jensen | Registered Nurse | 133 Route 3, Dededo, GU 96929-6911 | 2017-10-30 |
| 1184141020 | Ana Taitano Cruz | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2017-08-22 |
| 1275062150 | Marianys Delgado Alazo | Registered Nurse | 133 Route 3, Dededo, GU 96929 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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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.