Eric J. Woodard, MD PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

82094 Issued in MA

Legal business name

ERIC J. WOODARD, MD PC

Practice address

125 Parker Hill Ave
Converse 5
Roxbury Crossing, MA 02120-2847

Phone

(617) 754-6576

Fax

(617) 754-6415

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Eric J Woodard, M.D.NPI 1932101433

Title

Owner

Phone

(617) 754-6576

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

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

• Eric J Woodard, M.D.

  • Neurological Surgery Physician
  • Roxbury Crossing, MA
  • NPI 1932101433
  Medicare reassignment Care Compare group NPD Authorized official
• Codey Gillum, PA-C

  • Surgical Physician Assistant
  • Roxbury Crossing, MA
  • NPI 1023416781
  Medicare reassignment Care Compare group
• Pablo Diaz-Collado, MD

  • Orthopaedic Surgery of the Spine Physician
  • Boston, MA
  • NPI 1043578990
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1023006699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "address_2": "CONVERSE 5",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6576",
            "fax_number": "617-754-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "address_2": "CONVERSE 5",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6576",
            "fax_number": "617-754-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. WOODARD, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-754-6576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "82094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "082094",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M18408",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA5407",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712500",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Dow, M.D.
• Stephen B Dowton, M.D.
• Dr. Gerald Miley
• Ashley Caroline Drinker, OTR L
• Lucianaga Renee Edwards
• Katherine Elizabeth Esau, PHARMD
• Family Intervention Team Fit LLC
• David Parker Faxon, M.D.
• Lauren M Flanagan, MSPT
• Frank F Rand MD

• Neurological Surgery Physician in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Neurological Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.