Maw Medicine PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

01048590A Issued in IN

Legal business name

MAW MEDICINE PC

Doing business as

Michael A. Woods

Practice address

802 Laporte Ave
Suite 102
Valparaiso, IN 46383-5860

Phone

(219) 477-5242

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Woods

Title

Physician Biller

Phone

(219) 689-6637

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Michael A. Woods Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Michael A Woods, MD

  • Emergency Medicine Physician
  • Valparaiso, IN
  • NPI 1225130867
  Medicare reassignment NPD
• Robert L Brunk II, DO

  • Emergency Medicine Physician
  • Valparaiso, IN
  • NPI 1184678765
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1013191139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PLAZA DR STE 2",
            "address_2": "SUITE 164",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041573",
            "telephone_number": "219-689-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LAPORTE AVE",
            "address_2": "SUITE 102",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835860",
            "telephone_number": "219-477-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAW MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PHYSICIAN BILLER",
        "authorized_official_telephone_number": "219-689-6637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01048590A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE3546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PER SONANPI-MICHAEL WOODS",
            "identifier": "1225130867",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200203200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A. Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Rae Matthys, OTR/L
• Cameron Matucha
• Kristen Lee Mauk, PHD, GNP-BC, GCNS-BC
• Maureen Quinn Counseling
• Branda-Lee Maurushes, LCSW
• Jennifer M Maya, MD
• Aymn Mazhar, MBBS
• Douglas Adolph Mazurek, M.D.
• Mitchell J Mazurek, MD
• Patricia H. McAfee, CCC-SLP

• Medical Specialty Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.