NPIMap

Individual provider Active NPI

Henry William Woida, PA-C

  • Medical Physician Assistant
  • Midland, MI
National Provider Identifier
1053761569
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007761 Issued in MI
Practice address
720 W Wackerly St
Ste. 8
Midland, MI 48640-2769
Phone
(989) 486-9500
Fax
(989) 486-9503
NPI assigned
Jun 15, 2016
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601007761 MI Primary

Addresses

Primary practice location

720 W Wackerly St
Ste. 8
Midland, MI 48640-2769

Mailing address

4293 N Huron Rd
Pinconning, MI 48650-8402
Phone (989) 879-6244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160809002497 MI Practitioner - Physician Assistant 6406140789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent J Raap DO PCGroup PAC ID 0547243750, 2 clinicians

Practice addresses (Care Compare)

4293 N Huron Rd
Pinconning, MI 48650-8402
Phone (989) 879-6244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Parmer DO Past Accepting new patients
Sheryl Hasegawa Arthur DO PLLC PastSince Apr 1, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hwoida44216@direct.covenanthealthcare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1053761569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 N HURON RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486508402",
            "telephone_number": "989-879-6244",
            "fax_number": "989-879-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W WACKERLY ST",
            "address_2": "STE. 8",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402769",
            "telephone_number": "989-486-9500",
            "fax_number": "989-486-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOIDA",
        "first_name": "HENRY",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.