Active NPI
Charlotte Zahara Woods-Hill
- Pediatric Critical Care Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD458589
- Practice address
- 3401 Civic Center BVD
Suite 9329
Philadelphia, PA 19104-4319 - Phone
- (215) 590-1858
- Fax
- (267) 425-9320
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD458589 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3401 Civic Center BVD
Suite 9329
Philadelphia, PA 19104-4319
Mailing address
100 East Penn Square
The Wanamaker BLDG., 9TH FL., N
Philadelphia, PA 19107-3323
Phone (267) 425-9320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031403020001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of South Florida College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Anesthesiology Associates, LTD | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Children'S Anesthesiology Associates, LTD | Current | Accepting new patients | |
| Children'S Anesthesiology Associates, LTD | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Childrens Hospital of Philadelphia | Past | Accepting new patients |
Locations
324 S 34th St
Ste 9329
Philadelphia, PA 19104
Phone (215) 590-1867
3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300
100 E Penn Sq
Bldg 9TH
Philadelphia, PA 19107
Phone (267) 425-9538
Organizations & group practices 4
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.
-
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1689779480
-
- Pediatric Critical Care Medicine Physician
- Philadelphia, PA
- NPI 1497850291
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1942213525
Pediatric Critical Care Medicine
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1093039893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST PENN SQUARE",
"address_2": "THE WANAMAKER BLDG., 9TH FL., N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BVD",
"address_2": "SUITE 9329",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "215-590-1858",
"fax_number": "267-425-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS-HILL",
"first_name": "CHARLOTTE",
"middle_name": "ZAHARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD458589",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031403020001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.