Donald Alfred Woodruff

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637

Phone

(216) 910-9015

Fax

(216) 910-9015

NPI assigned

Sep 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1104595917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18117 FLAMINGO AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441353805",
            "telephone_number": "216-324-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637",
            "telephone_number": "216-910-9015",
            "fax_number": "216-910-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "DONALD",
        "middle_name": "ALFRED",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peopleplacesanddreams.com",
            "affiliation": "Y",
            "endpointDescription": "company website",
            "affiliationName": "People Places and Dreams LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25201 Chagrin Blvd Ste 390",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Women'S Healthcare, Inc.
• Danielle Wood Smith, QMHS
• Mercedes Deshon Woodard, LPN
• Andrea Wooddell, CNP
• Roberta Jean Woodman, RN, ANP-BC
• Christi Diann Woods, D.O.
• Cynthia E. Woods, LPCC-S
• Jamie Kathryn Woods, LISW
• Zakiya Woodson, PHARMD
• Regina Wordsall, M.A. PSY.S.

• Peer Specialist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.