Ethan Riley Woodcock, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-54027 Issued in KS

Practice address

737 E Crawford St
Salina, KS 67401-5103

Phone

(715) 827-7261

NPI assigned

Jun 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: ethan.woodcock@hca3.eclinicaldirectplus.com
• Direct secure messaging: ethan.woodcock.1@15770.direct.athenahealth.com

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1114611233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "715-827-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "ETHAN",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-54027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Joelle Wiss, PMHNP-BC
• Maria Wittman, D.D.S.
• Delwin J. Wohlgemuth, CRNA
• Amanda Francis Wolf, PT
• Jessica Kate Wolters, APRN
• Monica Ann Woolsoncroft, APRN
• Heather Hanson Wooten, OD
• Workman Chiropractic Clinic P.a.
• Elisabeth Kathryn Workman
• Karolina Iga Woroniecka, M.D.

• Family Medicine Physician in Salina, KS
• Providers in Salina, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.