Edythe A Woodall (NPI# 1164571212, PAC ID# 8820073349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1164571212 |
| PAC ID by PECOS | 8820073349 |
| Professional Enrollment ID | I20040621000211 |
| Full Name | Edythe A Woodall |
| Organization Legal Name | TC ANESTHESIA LLC |
| Address |
1040 S Fleishel Ave Tyler TX 75701-2031 |
| Phone Number | 9035338702 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1850619958 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 Citywest Blvd, Suite 300, Houston, TX 77042-2549 | 7136204000 | U S ANESTHESIA PARTNERS OF TEXAS, PA |
| 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 9035338702 | TC ANESTHESIA LLC |
| 11937 Us Hwy 271, Tyler, TX 75708-3154 | 9038773451 | U S ANESTHESIA PARTNERS OF TEXAS, PA |
| Organization Legal Name | TC ANESTHESIA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Glynn Jeansonne | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Michael J Ieyoub | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Richard T Burrow | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Tiffany Dawn Luttrell | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Street Address |
1040 S FLEISHEL AVE |
| City | TYLER |
| State | TX |
| Zip | 75701-2031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Glynn Jeansonne | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Michael J Ieyoub | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Mark R Robbins | Vascular Surgery | Mark Robbins Md Pa | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Richard T Burrow | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Tyrone Joseph Miller | General Surgery | Mark Robbins Md Pa | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Tiffany Dawn Luttrell | Certified Registered Nurse Anesthetist (crna) | Tc Anesthesia LLC | 1040 S Fleishel Ave, Tyler, TX 75701-2031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | TYLER + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Edythe A Woodall.
| 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.