Elizabeth Woodfin (NPI# 1497273395, PAC ID# 3779843255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497273395 |
| PAC ID by PECOS | 3779843255 |
| Professional Enrollment ID | I20180131002486 |
| Full Name | Elizabeth Woodfin |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Address |
11123 Chantilly Pkwy Ct Pike Road AL 36064-2880 |
| Phone Number | 3342938888 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547254153 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| Address | Phone | Organization |
|---|---|---|
| 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 | 3342938888 | JACKSON HOSPITAL AND CLINIC, INC. |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Brooke A Robinson | Family Medicine | Jackson Hospital and Clinic, Inc. | 4150 Carmichael Rd, Suite B, Montgomery, AL 36106-2933 |
| Shyam Padmanabhan | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Susan W Aguiar | Otolaryngology | Jackson Hospital and Clinic, Inc. | 1111 Olive St, Montgomery, AL 36106-1129 |
| Ravichandra R Boyella | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1758 Park Pl, Suite 300, Montgomery, AL 36106-1137 |
| Jodie M Shedd | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| William Saliski | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 44 Medical Arts Ct, Greenville, AL 36037-3869 |
| Christopher J Waguespack | Internal Medicine | Jackson Hospital and Clinic, Inc. | 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 |
| Howard Brazil | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| Gregory P Jones | Family Medicine | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Street Address |
11123 CHANTILLY PKWY CT |
| City | PIKE ROAD |
| State | AL |
| Zip | 36064-2880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Waguespack | Internal Medicine | Jackson Hospital and Clinic, Inc. | 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Stewart | Physical Therapy | 9708 Silver Bell Ct, Pike Road, AL 36064-2356 | |
| Mollie E Isaacson | Clinical Social Worker | 660 Horseshoe Curve, Pike Road, AL 36064-3408 |
| City | PIKE ROAD |
| Zip Code | 36064 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PIKE ROAD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth Woodfin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.