Jesse Willard Woods III

Primary specialty

Private VehicleTaxonomy code 347C00000X

Practice address

1410 N 31St St
Philadelphia, PA 19121-3870

Phone

(215) 258-3481

NPI assigned

Apr 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Other names 1

• Tiger D Raven-Melchiz El Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jesse Willard Woods III

  dba JWWIII Medical Brokerage Services

  • Case Manager/Care Coordinator
  • Philadelphia, PA
  • NPI 1265093579
  NPD

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1033772405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213870",
            "telephone_number": "215-258-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213870",
            "telephone_number": "215-258-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS III",
        "first_name": "JESSE WILLARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-20",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIGER D",
            "last_name": "RAVEN-MELCHIZ EL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Scott Woodmansee, CRNA
• Albert Joseph Woodring, MD
• Sara Woodring, MS, LAT, ATC
• Jacob Fitzgerald Woodroof, MD
• Jon Michael Woodruff, DDS
• Charlotte Zahara Woods-Hill
• Adam P Woods, BS
• Alesha Fatimah Woods
• Angelique Donyalle Woods
• Anna C Woods, MD

• Private Vehicle in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Private Vehicle in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.