Active NPI
David C Woodworth, PAC
- Physician Assistant
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001232
- Practice address
- 277 Middle Tpke W
Manchester, CT 06040 - Phone
- (860) 432-4640
- Fax
- (860) 432-4759
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001232 | CT | Primary |
Addresses
Primary practice location
277 Middle Tpke W
Manchester, CT 06040
Mailing address
1111 Cromwell Ave Ste 302
Rocky Hill, CT 06067-3455
Phone (605) 254-4469
Other practice location 1
1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3449
Phone (860) 525-4469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Main St
Suite 3
Willimantic, CT 06226-1931
Phone (860) 576-8771
240 Spencer St
Manchester, CT 06040-4618
Phone (860) 474-3963
35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 787-5774
385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 85.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 46.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001232 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Nems PLLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1000 Asylum Ave
Ste 2108
Hartford, CT 06105
Phone (860) 714-4097
95 Woodland St
#1
Hartford, CT 06105
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
Interoperability endpoints
- david.woodworth@xdr.hhchealthdirect.org
- dwoodworth3772660@direct.trinity-health.org
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1700681202
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Emergency Medicine Physician
- Stafford Springs, CT
- NPI 1427853936
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1114482882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1043269459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 CROMWELL AVE STE 302",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673455",
"telephone_number": "605-254-4469",
"fax_number": "860-278-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-432-4640",
"fax_number": "860-432-4759"
}
],
"practiceLocations": [
{
"address_1": "1111 Cromwell Ave Ste 404",
"address_purpose": "LOCATION",
"city": "Rocky Hill",
"state": "CT",
"postal_code": "060673449",
"country_code": "US",
"telephone_number": "860-525-4469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODWORTH",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.