DR. DEREK A WOESSNER (NPI# 1750476016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750476016 |
| Entity Type | Individual |
| Full Name | DR. DEREK A WOESSNER |
| Credential | MD |
| Practice Address |
2257 Taylor Rd Montgomery AL 36117-7790 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 3342456605 |
| Practice Fax Number | 3348213191 |
| Mailing Telephone | 7064943072 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 051194 | GA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD.28193 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 Mitylene Park Ln, Montgomery, AL 361173758 | 3342456605 | 3348213191 |
| 161 E University Dr, Auburn, AL 368325889 | 3348262090 | 3348213191 |
| 2257 Taylor Rd, Montgomery, AL 361177790 | 3342456605 | 3348213191 |
| 512 N Shady Ln, Dothan, AL 363032991 | 3346995747 | 3346995750 |
| 6262 Veterans Pkwy, Columbus, GA 319093540 | 7063246661 | 7064943306 |
| Street Address |
2257 TAYLOR RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953123 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 2257 Taylor Rd, Montgomery, AL 36117-7790 | 2020-02-07 |
| 1407383268 | Amy Cassady | Nurse Practitioner | 2257 Taylor Rd, Montgomery, AL 36117-7790 | 2017-05-11 |
| 1255764007 | Wetumpka Urology LLC | Urology | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2013-08-15 |
| 1427494855 | Dolphin Radiology Pllc | Radiology | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2013-05-13 |
| 1457601221 | Dudley J Terrell | Psychologist | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2012-09-19 |
| 1538229414 | William David Hewitt | Internal Medicine | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2006-12-11 |
| 1558421750 | Felix James Allen | Internal Medicine | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2006-12-11 |
| 1982764007 | Central Alabama Mri, LLC | Radiology | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2006-12-11 |
| 1649330747 | Dennis H Becker | Neurological Surgery | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649353756 | William H Burkhalter IIi | Family Medicine | 440 Taylor Rd, Suite 3380, Montgomery, AL 36117-3588 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794354 | Brookwood Primary Care- Grand River, L.L.C. | Family Medicine | 1115 Payton Way., Suite 111, Leeds, AL 35094 | 2015-07-06 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1558536474 | Jeffery Garrard, M.d., P.C. | Family Medicine | 4205 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-7421 | 2008-04-23 |
| 1699988048 | Brian A Cost | Family Medicine | 4205 Balmoral Dr Suite 200, Huntsville, AL 35801 | 2007-05-08 |
| 1295830891 | Total Sports Care, P.C. | Family Medicine | 4205 Balmoral Drive, Suite 200, Huntsville, AL 35801 | 2006-09-14 |
| 1548717119 | Jacksonville State University | Family Medicine | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2016-09-01 |
| 1285081463 | William Hunter Garrett | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2016-05-18 |
| 1912386848 | Leonardo Taarea | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-26 |
| 1497133458 | Monte Ketchum | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-11 |
| 1114290525 | Joseph Lee Edison | Family Medicine | 349 S Donahue Dr, Auburn, AL 36849-0001 | 2012-02-15 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.