Five J Woodall Medical Director

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01022907A Issued in IN

Legal business name

FIVE J WOODALL MEDICAL DIRECTOR

Practice address

299 E 360 N
Anderson, IN 46012-9659

Phone

(765) 642-8446

Fax

(765) 642-7934

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John W Woodall, (M.D.)NPI 1639120256

Title

Owner

Phone

(765) 642-8446

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Woodall, MD

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1639120256
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1013034628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 E 360 N",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460129659",
            "telephone_number": "765-642-8446",
            "fax_number": "765-642-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 E 360 N",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460129659",
            "telephone_number": "765-642-8446",
            "fax_number": "765-642-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE J WOODALL MEDICAL DIRECTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-642-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "(M.D.)"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01022907A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Fisher, M.A. ED., BCBA
• Jennifer Elizabeth Fisher, M.D.
• Lindsay Fisher
• Timothy E Fisher
• Sara Fitch
• Chantal Flick, BCBA, MA
• Janeice Florence
• Diana Flores-Miranda
• Maureen Mackenzie Flynn, CRNP
• Victoria Foerster, LMHC

• Family Medicine Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.