NPIMap

Organization Active NPI

Woodlawn Hospital

Doing business as Akron Medical Center

  • Nurse Practitioner
  • Akron, IN
National Provider Identifier
1043382625
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000786A Issued in IN
Legal business name
WOODLAWN HOSPITAL
Doing business as
Akron Medical Center
Practice address
105 St Rd 14 N
Akron, IN 46910
Phone
(574) 598-2020
Fax
(574) 598-2021
NPI assigned
Nov 15, 2006
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
John Kraft
Title
Cfo
Phone
(574) 224-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000786A IN Primary

Addresses

Primary practice location

105 St Rd 14 N
Akron, IN 46910

Mailing address

105 St Rd 14 N
Akron, IN 46910
Phone (574) 598-2020

Other identifiers 1

IdentifierTypeStateIssuer
200284330AMedicaidIN

Other names 1

  • Akron Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000043 IN Part B Supplier - Clinic/Group Practice 4082506993 Receives reassigned benefits from 73 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Akron, IN; Argos, IN; Fulton, IN; Rochester, IN

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0980933Akron Medical Center105 N St Rd 14, Akron, IN 46910Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/woodlwn-9af21c78

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1043382625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ST RD 14 N",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "46910",
            "telephone_number": "574-598-2020",
            "fax_number": "574-598-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ST RD 14 N",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "46910",
            "telephone_number": "574-598-2020",
            "fax_number": "574-598-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "574-224-1118"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000786A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200284330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akron Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Akron Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.