NPIMap

Individual provider Active NPI

Scott E Woods, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1093706061
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057182 Issued in OH
Practice address
4411 Montgomery Rd
Suite 200
Cincinnati, OH 45212-3187
Phone
(513) 977-6700
Fax
(513) 531-2624
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35057182 OH Primary

Addresses

Primary practice location

4411 Montgomery Rd
Suite 200
Cincinnati, OH 45212-3187

Mailing address

4411 Montgomery Rd
Suite 200
Cincinnati, OH 45212-3187
Phone (513) 977-6700

Other identifiers 3

IdentifierTypeStateIssuer
200837740MedicaidIN
2181795MedicaidOH
64071491MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040524000182 OH Practitioner - Family Practice 2668463084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Family Practice CenterGroup PAC ID 7012905292, 15 clinicians

Practice addresses (Care Compare)

1775 W Lexington
Suite 100
Cincinnati, OH 45212-3667
Phone (513) 977-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35057182OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Family Practice Center Family Medicine CurrentSince Jul 1, 1999 Accepting new patients
Center for Addiction Treatment Past Accepting new patients
Bethesda Hospital Inc Past Accepting new patients
Center for Addiction Treatment Past Accepting new patients
Center for Addiction Treatment Past Accepting new patients

Locations

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

4411 Montgomery Rd
Ste 200
Cincinnati, OH 45212
Phone (513) 531-6720

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: cwoods1725@direct.trihealth.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 and National Provider Directory roles.

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1093706061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MONTGOMERY RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123187",
            "telephone_number": "513-977-6700",
            "fax_number": "513-531-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MONTGOMERY RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123187",
            "telephone_number": "513-977-6700",
            "fax_number": "513-531-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200837740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181795",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64071491",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.