Stephan Kermit Woodman in Grand Island - Diagnostic Radiology
Stephan Kermit Woodman - NPI 1285662825
Stephan Kermit Woodman is a Diagnostic Radiology in Grand Island, Nebraska. Stephan Kermit Woodman practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephan Kermit Woodman is 1285662825. The last update date is 2023-03-07.
Stephan Kermit Woodman's current location address is 2808 Old Fair Rd, Grand Island, Nebraska. You can contact this provider via phone number 3083826856 and fax number 3083811560. The mailing address for Stephan Kermit Woodman is 2808 Old Fair Rd, Grand Island, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan Kermit Woodman |
|---|---|
| Address | 2808 Old Fair Rd, Grand Island, Nebraska |
| Phone Number | 3083826856 |
| Fax Number | 3083811560 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285662825 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2808 Old Fair Rd |
|---|---|
| City | Grand Island |
| State | Nebraska (NE) |
| Post Code | 688035220 |
| Phone Number | 3083826856 |
| Fax Number | 3083811560 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 12780 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 422 | NE | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephan Kermit Woodman?
The Stephan Kermit Woodman has been issued the NPI (National Provider Identifier) 1285662825 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 Stephan Kermit Woodman is physically located?
The Stephan Kermit Woodman is situated at the following address: 2808 Old Fair Rd, Grand Island, NE 688035220.
What is the Stephan Kermit Woodman's area of specialization and corresponding taxonomy classification?
The Stephan Kermit Woodman's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
When did Stephan Kermit Woodman receive its 1285662825 assignment?
The Stephan Kermit Woodman was assigned its 1285662825 on 2006-06-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Stephan Kermit Woodman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephan Kermit Woodman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.