MICHAEL PATRICK WOODBURY (NPI# 1871856740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871856740 |
| Entity Type | Individual |
| Full Name | MICHAEL PATRICK WOODBURY |
| Credential | DO |
| Practice Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121 |
| Mailing Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609 |
| Practice Telephone | 7027311616 |
| Practice Fax Number | 7027344900 |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 5101020103 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
DO2289 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV MEDICAL LICENSE | DO2289 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Genesys Pkwy, Grand Blanc, MI 484398065 | 8106065000 | |
| 8205 W Warm Springs Rd Ste 250, Las Vegas, NV 891133646 | 7022272152 | 7022520369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080594 | Michael Woodbury | Chiropractor | 7116 Six Forks Rd Ste A, Raleigh, NC 27615-6262 | 2019-05-31 |
| 1154313591 | Michael J Woodbury | Allergy & Immunology | 3002 N Germantown Rd, Bartlett, TN 38133-4023 | 2005-08-22 |
| Street Address |
2800 E DESERT INN RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845649 | Russell T. Nevins | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2005-07-19 |
| 1548871551 | Riley Madison Brashear | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2020-08-13 |
| 1841838570 | Jordan Christensen | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-12 |
| 1881232635 | Christopher Cummings | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-11 |
| 1508331083 | Abby Sue Fink | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-10-10 |
| 1942788575 | Briannon Marie Yadrick | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-08-06 |
| 1326532037 | Janika Sullivan | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-06-16 |
| 1427564806 | Elizabeth Ashley Hanks | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-12-20 |
| 1629592811 | Alysse A Thummel | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-07-28 |
| 1558809079 | Candice D Cliatt | Registered Nurse | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720212673 | Parminder S Kang | Orthopaedic Surgery | 2800 E Desert Inn Rd, #100, Las Vegas, NV 89121-3608 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497002471 | Fortune Egbulefu | Orthopaedic Surgery | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2012-08-09 |
| 1295840841 | John J Kastrup | Orthopaedic Surgery | 1505 Wigwam Pkwy, #330, Henderson, NV 89074-8194 | 2006-08-21 |
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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.