Stephen Douglas Woods, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009938 Issued in IL

Practice address

5400 N Illinois St
Suite 104
Fairview Heights, IL 62208-3563

Phone

(618) 235-1500

Fax

(618) 235-1501

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1043315526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N ILLINOIS ST",
            "address_2": "SUITE 104",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083563",
            "telephone_number": "618-235-1500",
            "fax_number": "618-235-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N ILLINOIS ST",
            "address_2": "SUITE 104",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083563",
            "telephone_number": "618-235-1500",
            "fax_number": "618-235-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2632008",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038-009938",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "612200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlee Rae Williamson
• Maria Noel Wolf, CRNA
• Marissa Womble, RBT
• Anita J. Wood, O.D.
• Jon L Woods, O.D.
• Christopher Worth, DC
• Mark Thomas Wright, D.C.
• XRT III, Inc
• Moshood A Yinusa, FNP
• Jena Young

• Chiropractor in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.