DR. JEFF TODD (NPI# 1700823713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700823713 |
| Entity Type | Individual |
| Full Name | DR. JEFF TODD |
| Credential | MD |
| Practice Address |
205 S Mccrary St Woodbury TN 37190-1439 |
| Practice Telephone | 6155632891 |
| Practice Fax Number | 6155634582 |
| Mailing Telephone | 6155632891 |
| Mailing Fax Number | 6155634582 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD38269 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TAX ID | 621852954 | 01 |
| TN | BLUE CROSS BLUE SHIELD TN | 4089844 | 01 |
| TN | 3895036 | 05 |
| Street Address |
205 S MCCRARY ST |
| City | WOODBURY |
| State | TN |
| Zip Code | 37190-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790256733 | Jennifer Courtway | Nurse Practitioner | 205 S Mccrary St, Woodbury, TN 37190-1499 | 2018-12-17 |
| 1912432139 | Brooke Marie Bowman Slaughter | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1499 | 2017-04-25 |
| 1497135867 | Action Dme LLC | Durable Medical Equipment & Medical Supplies | 205 S Mccrary St, Suite 3, Woodbury, TN 37190-1439 | 2015-06-01 |
| 1407262975 | Rachel Rivers | Nurse Practitioner | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2014-07-06 |
| 1013238856 | Gavin Butler Pinkston | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2010-06-16 |
| 1386667244 | Cannon County Healthcare PC | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-07-25 |
| 1003854258 | Keith Young | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1255407219 | Catherine Lorraine Levi | Physical Therapy Assistant | 119 West High Street, Woodbury, TN 37190 | 2006-11-28 |
| 1669807830 | Heather J Melton | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190 | 2013-09-06 |
| 1639245681 | James L Mayes | Physical Therapist | 324 Doolittle Rd, Woodbury, TN 37190 | 2006-11-28 |
| 1811063878 | Melisa Johnson Curtis | Physical Therapy Assistant | 324 Doolittle Rd, Stones River Hospital Inpatient Rehab, Woodbury, TN 37190 | 2006-11-28 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1437148905 | Darryl T Deason | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-18 |
| 1629067855 | Andrew P Bucher | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-20 |
| 1003360793 | Woodbury Dental Partners | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2016-08-10 |
| 1407000417 | Darryl T Deason | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2008-11-05 |
| Find all providers in zip 37190 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747365 | Balsam Partners, Pllc | Family Medicine | 203 W High St # 24, Woodbury, TN 37190-1147 | 2017-01-23 |
| 1720271356 | Mona Parmar | Family Medicine | 10248 Grand Oaks Trl, Woodbury, MN 55129-4249 | 2007-08-27 |
| 1831317320 | East Metro Family Practice, P.a. | Family Medicine | 2056 Woodlane Dr, Woodbury, MN 55125-2917 | 2007-04-23 |
| 1962578807 | Barbara J Roehl | Family Medicine | 75 W. Red Bank Ave, Woodbury, NJ 08096 | 2006-11-24 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1306924915 | James Ilko | Family Medicine | 1687 Woodlane Drive, Suite 102, Woodbury, MN 55125-3045 | 2006-11-01 |
| 1942237151 | Sandra Louise Coffin | Family Medicine | 8360 City Centre Dr, Suite 120, Woodbury, MN 55125-3381 | 2006-06-26 |
| 1205882438 | Emi Chiusano | Family Medicine | 875 Mantua Pike, Woodbury, NJ 08096-3337 | 2006-05-26 |
| 1659332021 | Mary L Ezzo | Family Medicine | 8675 Valley Creek Road, Woodbury, MN 55125-2337 | 2006-03-28 |
| 1740249457 | Marcus Magnet | Family Medicine | 831 Kings Hwy, Suite 100, Woodbury, NJ 08096-3162 | 2006-03-21 |
| Find all providers in WOODBURY | ||||
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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.