Active NPI
Samuel Isaac Woodard, D.O.
- Family Medicine Physician
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP60668274
- Practice address
- 603 S Chestnut St
Ellensburg, WA 98926-3875 - Phone
- (509) 925-7604
- NPI assigned
- Jun 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP60668274 | WA | Primary |
Addresses
Primary practice location
603 S Chestnut St
Ellensburg, WA 98926-3875
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114248259 | Medicaid | WA | |
| P01702030 | Other | WA | RR PTAN WVH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/ | ||
| Direct Messaging Address | swoodard32454@edirect.chehr.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 E Manitoba Ave
Suite 109
Ellensburg, WA 98926-3885
Phone (809) 925-8445
Hospital & facility affiliations
- Kittitas Valley Home Health & Hospice
- Kittitas Valley Community Hospital
- Yakima Valley Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Past | Accepting new patients |
Locations
700 E Manitoba Ave
Ste 109
Ellensburg, WA 98926
Phone (509) 925-6947
700 E Manitoba Ave
Ellensburg, WA 98926
Phone (509) 925-6100
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Interoperability endpoints
- swoodard32454@edirect.chehr.org
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Urology Physician
- Ellensburg, WA
- NPI 1437029832
-
- Specialist
- Ellensburg, WA
- NPI 1790910057
-
- Clinical Medical Laboratory
- Wenatchee, WA
- NPI 1689916819
-
- Rural Health Clinic/Center
- Ellensburg, WA
- NPI 1932115391
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- Home Health Agency
- Ellensburg, WA
- NPI 1376561654
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1114248259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S CHESTNUT ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263875",
"telephone_number": "509-925-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "SAMUEL",
"middle_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP60668274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114248259",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN WVH",
"identifier": "P01702030",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"address_1": "820 N Chelan Ave",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988012028",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swoodard32454@edirect.chehr.org",
"affiliation": "N",
"address_1": "820 N Chelan Ave",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988012028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.