Jonathan D Woolery in Grand Terrace - Critical Care Medicine

Jonathan D Woolery - NPI 1891959730

Jonathan D Woolery is a Critical Care Medicine in Grand Terrace, California. Jonathan D Woolery practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jonathan D Woolery is 1891959730. The last update date is 2023-08-09.

Jonathan D Woolery's current location address is 22400 Barton Rd # 21-301, Grand Terrace, California. You can contact this provider via phone number 9493788250 and fax number 7145392131. The mailing address for Jonathan D Woolery is 22400 Barton Rd # 21-301, Grand Terrace, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan D Woolery
Address 22400 Barton Rd # 21-301, Grand Terrace, California
Phone Number 9493788250
Fax Number 7145392131
Sole Proprietor N
Credentials MD, MPH, M

NPI Number Detail

NPI Number 1891959730
Provider Enumeration Date 2008-07-10
Last Updated Date 2023-08-09

Provider Mailing Address Detail

Address 22400 Barton Rd # 21-301
City Grand Terrace
State California (CA)
Post Code 923135030
Phone Number 9493788250
Fax Number 7145392131

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No 30139
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2008018595 MO MISSOURI LICENSE

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FAQs about Jonathan D Woolery

What is the unique provider identifier assigned to Jonathan D Woolery?

The Jonathan D Woolery has been issued the NPI (National Provider Identifier) 1891959730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jonathan D Woolery is physically located?

The Jonathan D Woolery is situated at the following address: 22400 Barton Rd # 21-301, Grand Terrace, CA 923135030.

What is Jonathan D Woolery's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jonathan D Woolery is Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rc0200X.

On what date did the Jonathan D Woolery receive the assignment of its 1891959730 from the Centers for Medicare & Medicaid Services?

The Jonathan D Woolery was issued its 1891959730 by the Centers for Medicare & Medicaid Services on 2008-07-10.

As of what date were the details related to Jonathan D Woolery most recently updated or revised?

The information pertaining to Jonathan D Woolery, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-09.

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