COURTNEY J WOODHULL (NPI# 1669743035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669743035 |
| Entity Type | Individual |
| Full Name | COURTNEY J WOODHULL |
| Credential | PA-C |
| Practice Address |
350 Engle St Englewood NJ 07631-1808 |
| Mailing Address |
64 Autumn Ridge Rd Bedminster NJ 07921-1849 |
| Practice Telephone | 2018943689 |
| Practice Fax Number | 2125412965 |
| Mailing Telephone | 6095715572 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
015055 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
350 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612881 | Englewood Hospital and Medical Center | General Acute Care Hospital | 350 Engle St, Englewood, NJ 07631-1808 | 2005-07-14 |
| 1285233874 | Virginia Njihia | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-10-23 |
| 1548872815 | Deidre A Williams | Nurse Practitioner | 350 Engle St, Englewood, NJ 07631-1808 | 2020-08-18 |
| 1801406632 | Arnold Do | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-08-06 |
| 1760091128 | Michael Haroon Basir | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-30 |
| 1942818810 | Shaina Shah | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-16 |
| 1013525195 | Stephanie Alvarez | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-15 |
| 1386260172 | Joyce B Mbiziwo-tiapo | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-18 |
| 1356967228 | Alison Mcilvride | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-17 |
| 1760007652 | Abdullah Sultan Ahmad Ahmad | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782346 | Summit Surgical Services | Physician Assistant | 2068 E Floyd Pl, Englewood, CO 80113-3129 | 2015-02-05 |
| 1497856686 | Jeffrey Garner | Physician Assistant | 4548 S Bannock St, Englewood, CO 80110-5706 | 2006-09-26 |
| 1043297377 | John G Spranger | Physician Assistant | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2005-12-28 |
| 1366862013 | Rachel Stadler | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2014-04-21 |
| 1871916361 | Kristina Scheerer | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2014-02-04 |
| 1003119736 | Megan Nora Cronin | Physician Assistant | 701 E Hampden Ave, #515, Englewood, CO 80113-2736 | 2010-12-20 |
| 1508167669 | Erin Michelle Moreau | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2010-11-05 |
| 1205064250 | Sarah Monchar | Physician Assistant | 309 Engle St, Suite 6, Englewood, NJ 07631-1824 | 2009-06-29 |
| 1144478884 | Kandice Michelle Rosemond | Physician Assistant | 350 Engle St, Englewood, NJ 07631-1808 | 2008-09-07 |
| 1669631750 | Theresa E. Galla | Physician Assistant | 350 Engle St, Dept. of Cardiothoracic Surgery, Englewood, NJ 07631-1808 | 2008-06-04 |
| Find all providers in ENGLEWOOD | ||||
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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.