KRISTIN WOODBURY (NPI# 1861614067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861614067 |
Entity Type | Individual |
Full Name | KRISTIN WOODBURY |
Credential | D.O. |
Practice Address |
1710 Pennsylvania Ave Ste D Fairfield CA 94533-3549 |
Mailing Address |
1710 Pennsylvania Ave Suite D Fairfield CA 94533-3589 |
Practice Telephone | 7074322000 |
Practice Fax Number | 7074322001 |
Mailing Telephone | 7074322000 |
Mailing Fax Number | 7074322001 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2016-07-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | OS015105 | PA | Allopathic & Osteopathic Physicians |
Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
20A 11724 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1710 PENNSYLVANIA AVE STE D |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-3549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710986435 | Eastbay Home Health Services, Inc | Home Health | 1710 Pennsylvania Ave, Suite E, Fairfield, CA 94533-3589 | 2005-07-14 |
1477736395 | Frank W. Hull, M.d. | Optometrist | 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3589 | 2007-12-13 |
1598833949 | Oladimeji Fatai Sorunke | Dentist | 1710 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3589 | 2006-12-02 |
1518038108 | Mark R Christensen | Optometrist | 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3549 | 2006-11-13 |
1073531356 | Murray Alan Woolf | Otolaryngology | 1710 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3589 | 2006-07-17 |
1720071327 | Frank W Hull | Ophthalmology | 1710 Pennsylvania Ave, Ste B, Fairfield, CA 94533 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 207YX0602X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngic Allergy |
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665415 | Faculty Physicians and Surgeons of Llusm | Otolaryngology | 4646 Brockton Ave Ste 103, Riverside, CA 92506-0103 | 2020-07-06 |
1053705228 | Beverly Hills Wellness Physicians Corp | Otolaryngology | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2015-03-25 |
1205181427 | Walter Edwin Arute | Otolaryngology | 1945 Discovery Village Ln, Gold River, CA 95670-3063 | 2012-07-14 |
1750588257 | Voice Institute of Beverly Hills A Medical Corporation | Otolaryngology | 8500 Wilshire Blvd Ste 908, Beverly Hills, CA 90211-3107 | 2007-06-28 |
1508916651 | The Family-centered Ear, Nose, Throat Group | Otolaryngology | 18181 Butterfield Blvd Ste 180, Morgan Hill, CA 95037-8112 | 2007-01-11 |
1659394419 | Quoc Ai Nguyen | Otolaryngology | 13362 Brookhurst St, Garden Grove, CA 92843-3153 | 2006-07-25 |
1164440822 | Daniel Joseph Schlund | Otolaryngology | 125 Mall Dr, Ste 307, Hanford, CA 93230-5794 | 2006-07-18 |
1942244108 | Donald Wilkes Burt Jr. | Otolaryngology | 18181 Butterfield Blvd Ste 120, Morgan Hill, CA 95037-8108 | 2006-06-16 |
1205804747 | Darrell Herbert Hunsaker | Otolaryngology | 5121 San Aquario Dr, San Diego, CA 92109-1511 | 2006-03-10 |
1043212376 | Ear Nose and Throat Medical Clinic Inc | Otolaryngology | 1050 Las Tablas Rd, Templeton, CA 93465-9729 | 2005-05-31 |
Find all providers with the same taxonomy |
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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.