William Richard Woodruff

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

601 Gall Street
Lower Brule, SD 57548-0248

Phone

(605) 473-8246

Fax

(605) 473-0607

NPI assigned

Jun 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lower Brule Health Center IHS

  • Clinic/Center
  • Lower Brule, SD
  • NPI 1881719425
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053514554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575480248",
            "telephone_number": "605-473-8246",
            "fax_number": "605-473-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GALL STREET",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575480248",
            "telephone_number": "605-473-8246",
            "fax_number": "605-473-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard P Thompson Jr., RN
• Christianna L Tran, PHARMD
• Elijah Sky Walls, ACT
• Danielle Weidenbach, FNP
• Georgia Wilson, LPN
• Michael David Yanuck, MD
• Erica Brynn Zimprich, PHARM.D.

• Clinical Laboratory Director (Non-physician) in Lower Brule, SD
• Providers in Lower Brule, SD by specialty
• Clinical Laboratory Director (Non-physician) in South Dakota

• 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.