Woodland Place

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

132402 Issued in PA

Legal business name

WOODLAND PLACE

Practice address

745 Greenville Rd
Mercer, PA 16137-5023

Phone

(724) 662-5400

Fax

(724) 662-2043

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Drew C Pierce, CPA

Title

Chief Operating Officer

Phone

(724) 662-5400

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1063493872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 GREENVILLE RD",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375023",
            "telephone_number": "724-662-5400",
            "fax_number": "724-662-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 GREENVILLE RD",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375023",
            "telephone_number": "724-662-5400",
            "fax_number": "724-662-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "724-662-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "132402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MANAGED CARE",
            "identifier": "001279",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC MANAGED CARE",
            "identifier": "V0044A",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016782520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony L. Winger, LSW
• Jodie F. Witherite, LCSW
• James Woge
• Kelly Ann Wolbert, CRNP
• Brian M Wolfson, MD

• Skilled Nursing Facility in Mercer, PA
• Providers in Mercer, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.