Kathleen R Woods, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006542 Issued in MI

Practice address

893 E Superior St
Wayland, MI 49348-9178

Phone

(616) 252-3400

NPI assigned

Nov 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen R Potts Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1659562262
  Medicare reassignment NPD
• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1477745495
  NPD
• Metropolitan Enterprises Inc.

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1770550105

  Physician Assistant

  NPD (past)
• Pennant Physician Services

  • Pediatric Cardiology Physician
  • Grand Rapids, MI
  • NPI 1245572007
  NPD (past)

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1053665893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 HEALTH DR SW",
            "address_2": "SUITE 230",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489178",
            "telephone_number": "616-252-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "POTTS",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth White, DDS
• Kendel Wiercinski
• Jillian Wilbur, LLMSW
• Margaret Dawn Wilkins, COTA/L
• Taylor Easton Witczak
• Donna L Wykstra

• Physician Assistant in Wayland, MI
• Providers in Wayland, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.