CHARLES R WOODRUFF (NPI# 1700956877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700956877 |
| Entity Type | Individual |
| Full Name | CHARLES R WOODRUFF |
| Credential | CRNA |
| Practice Address |
111 S 5th St Douglas WY 82633-2434 |
| Mailing Address |
111 South 5th St Douglas WY 82633 |
| Practice Telephone | 3073598667 |
| Mailing Telephone | 3073598667 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2013-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 23694.0835 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | WY MCD | 119058000 | 01 |
| RR MED | P00058219 | 01 | |
| BCBS | 08589 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
| 1235461435 | Charles Malcolm Woodruff | Pharmacist | 2525 Dawson Rd, Albany, GA 31707-2315 | 2010-02-12 |
| 1740209345 | Charles Allan Woodruff | Dentist | 1707 Mount Pleasant St, Burlington, IA 52601-2786 | 2006-07-18 |
| 1295976728 | Charles Roy Woodruff Sr. | Counselor | 9506b Lee Hwy, Fairfax, VA 22031-2303 | 2009-03-12 |
| 1053315713 | Charles Woodruff | Radiology | 501 Bath Rd, Bristol, PA 19007-3101 | 2005-06-10 |
| Street Address |
111 S 5TH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670267 | Phillip O Tigert | Physician Assistant | 111 S 5th St, Douglas, WY 82633-2434 | 2005-06-28 |
| 1972110138 | Melanie Hummert | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-09-30 |
| 1467070730 | Jordon Jacklin | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-07-13 |
| 1225662216 | Sara Marie Thronburg | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2020-02-27 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| 1043867872 | Aaron Bernal | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-26 |
| 1033765821 | Hannah Williams | Occupational Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-16 |
| 1710457601 | Michael Jeremey Littleton | Emergency Medical Technician, Paramedic | 111 S 5th St, Douglas, WY 82633-2434 | 2018-12-04 |
| 1275054751 | Shelby Hoskinson | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2017-07-05 |
| 1811447956 | Melissa Renee Bulkley | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1235611468 | Jessica Renee Snyder | Social Worker | 1841 Madora Ave, Douglas, WY 82633 | 2018-09-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1760450316 | John G Wooley II | Nurse Anesthetist, Certified Registered | 1320 Madison Ave S, #145, Douglas, GA 31533-4417 | 2006-03-09 |
| 1073655833 | Nancy Ann Dickson | Nurse Anesthetist, Certified Registered | 2174 W Oak Ave, Southeast Az Medical Center, Douglas, AZ 85607-6003 | 2007-02-12 |
| 1013080688 | Wyoming Regional Anesthesia LLC | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-11-15 |
| 1063503514 | Loren B Thiel | Nurse Anesthetist, Certified Registered | 111 S 5th St, Douglas, WY 82633-2434 | 2006-09-28 |
| 1477576874 | Troy Eldon Votruba | Nurse Anesthetist, Certified Registered | 111 S 5th St, Douglas, WY 82633-2434 | 2006-07-26 |
| 1710935333 | George Egolf | Nurse Anesthetist, Certified Registered | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2006-05-05 |
| 1417905357 | Stuart Jackson O'steen | Nurse Anesthetist, Certified Registered | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2006-05-04 |
| 1619933975 | Patricia Collins | Nurse Anesthetist, Certified Registered | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005336 | Clinic Ketamine, P.C. | Nurse Anesthetist, Certified Registered | 70 Meadow St, Lyman, WY 82937-9008 | 2020-02-20 |
| 1467922468 | Cloud Peak Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1307 W 3rd St Ste B, Gillette, WY 82716-3343 | 2018-12-03 |
| 1548794340 | Amber Knuths | Nurse Anesthetist, Certified Registered | 4514 Running W Dr, Apartment 303, Gillette, WY 82718-2025 | 2017-04-18 |
| 1285972737 | Amanda Raye Zuck | Nurse Anesthetist, Certified Registered | 3100 W Lakeway Rd Ste 3, Gillette, WY 82718-6373 | 2013-01-17 |
| 1912298530 | Justin R Fenus | Nurse Anesthetist, Certified Registered | 190 Seminole Dr, Evanston, WY 82930-6600 | 2011-04-30 |
| 1083785281 | Richard Carver | Nurse Anesthetist, Certified Registered | 195 Overthrust Rd., Evanston, WY 82930-9266 | 2006-11-11 |
| 1104917558 | Jeffrey L Green | Nurse Anesthetist, Certified Registered | 1524 W 5th St, Sheridan, WY 82801-2707 | 2006-09-28 |
| 1558396911 | Gary Max Hess | Nurse Anesthetist, Certified Registered | Star Valley Medical Center, 110 Hospital Lane, Afton, WY 83110 | 2006-07-12 |
| 1316979057 | William David Hamilton | Nurse Anesthetist, Certified Registered | 625 East Broadway, Jackson, WY 83001 | 2006-07-06 |
| 1356372726 | /cynthia Ann French | Nurse Anesthetist, Certified Registered | 625 E Broadway St Johns Medical Center, Jackson, WY 83001 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES R WOODRUFF.
| 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.