Individual provider Active NPI

Lee Clinton Woodson, M.D., PH.D.

  • Anesthesiology Physician
  • Galveston, TX
National Provider Identifier
1053429084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H5502 Issued in TX
Practice address
815 Market St
Medical Staff Office
Galveston, TX 77550-2725
Phone
(409) 770-6607
Fax
(409) 770-6919
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H5502 TX Primary

Addresses

Primary practice location

815 Market St
Medical Staff Office
Galveston, TX 77550-2725

Mailing address

815 Market St
Medical Staff Office
Galveston, TX 77550-2725
Phone (409) 770-6607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053429084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MARKET ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502725",
            "telephone_number": "409-770-6607",
            "fax_number": "409-770-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MARKET ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502725",
            "telephone_number": "409-770-6607",
            "fax_number": "409-770-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "LEE",
        "middle_name": "CLINTON",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H5502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.