WOODARD WELLNESS GROUP LLC (NPI# 1891856308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891856308 |
| Entity Type | Organization |
| Organization Name | WOODARD WELLNESS GROUP LLC |
| Practice Address |
1245 E Walnut St Carbondale IL 62901-5005 |
| Practice Telephone | 6185294545 |
| Practice Fax Number | 6185292822 |
| Mailing Telephone | 6185294545 |
| Mailing Fax Number | 6185292822 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | DR. BRIAN E WOODARD (PRESIDENT) |
| Authorized Official Telephone | 6185294545 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038003887 | IL | Chiropractic Providers |
| Street Address |
1245 E WALNUT ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962788489 | Align Healthcares LLC | Clinic/Center | 1245 E Walnut St, Carbondale, IL 62901-5005 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083996268 | David William Binversie | Chiropractor | 141 Fishback Rd, Carbondale, IL 62901-6325 | 2011-09-14 |
| 1487960035 | Align Healthcare LLC | Chiropractor | 1245 East Walnut St, Carbondale, IL 62901 | 2010-08-20 |
| 1467682757 | Andrew John Rivera | Chiropractor | 267 Brooklyn St., Suite A, Carbondale, PA 18404 | 2009-07-21 |
| 1477734135 | Carbondale Chiropractic Center Inc. | Chiropractor | 267 Brooklyn Street, Suite A, Carbondale, PA 18407-2829 | 2007-11-21 |
| 1235332628 | Osage County Chiropractic, P.a. | Chiropractor | 119 Main St Box 329, Carbondale, KS 66414 | 2007-06-06 |
| 1134288087 | Kent James Albrecht | Chiropractor | 326 Highway 133, Suite 270c, Carbondale, CO 81623-2507 | 2006-12-07 |
| 1487725115 | Gary L Latimer | Chiropractor | 267 Brooklyn St, Suite A, Carbondale, PA 18407-2836 | 2006-11-13 |
| 1205914181 | Brian E Woodard | Chiropractor | 100 N Glenview Dr, Suite 101, Carbondale, IL 62901-2275 | 2006-11-01 |
| 1588748545 | Steven Patrick Barrett | Chiropractor | 2250 Reed Station Pkwy, Ste. 305, Carbondale, IL 62901 | 2006-10-25 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.