Woods Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOODS FAMILY PRACTICE LLC

Practice address

20652 N 53Rd Ave
Glendale, AZ 85308-9309

Phone

(262) 383-5517

Fax

(920) 268-4285

NPI assigned

Apr 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Justin Woods, MD

Title

Owner

Phone

(262) 383-5517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1023543519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20652 N 53RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089309",
            "telephone_number": "262-383-5517",
            "fax_number": "920-268-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20652 N 53RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089309",
            "telephone_number": "262-383-5517",
            "fax_number": "920-268-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-383-5517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Wood, PHARMD
• Wendy A Wood, PT
• Ekaphol Wooden, DO
• Jamie B Woodfill, D.D.S.
• Morgan Robert Woodmansee, CRNA
• Abriana Woods, MC
• David Rusty Woods, M.C.;LPC
• Kelli A Woods, RN
• Claudia Wooley
• Darin Woolpert, PHD

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.