Active NPI
Kristin E Woodard, D.O.
- Family Medicine Physician
- Sylvania, OH
National Provider Identifier
1114921095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-00-5713
- Practice address
- 7640 Sylvania Ave
Suite K
Sylvania, OH 43560-9729 - Phone
- (419) 517-1001
- Fax
- (419) 517-1021
- NPI assigned
- Jun 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-00-5713 | OH | Primary |
Addresses
Primary practice location
7640 Sylvania Ave
Suite K
Sylvania, OH 43560-9729
Mailing address
7640 Sylvania Ave
Suite K
Sylvania, OH 43560-9729
Phone (419) 517-1001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00038728 | Other | RAILROAD MEDICARE | |
| 2420633 | Medicaid | OH | |
| 4524124 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Ohio University, College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7640 Sylvania Ave
Suite K
Sylvania, OH 43560-9263
Phone (419) 517-1001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylvan Lakes Family Physicians LTD | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Comprehensive Care Family Practice, P.C. | Family Medicine | Past | Accepting new patients |
| The Orthopaedic Network, Inc. | Past | Accepting new patients |
Locations
7640 Sylvania Ave
Ste K
Sylvania, OH 43560
Phone (419) 517-1001
Interoperability endpoints
- kwoodard108555@direct.bsmhealth.org
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.
-
- Family Medicine Physician
- Sylvania, OH
- NPI 1346422425
-
- Family Medicine Physician
- Toledo, OH
- NPI 1053393181
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Surgery Physician
- Toledo, OH
- NPI 1518070804
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1114921095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7640 SYLVANIA AVE",
"address_2": "SUITE K",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435609729",
"telephone_number": "419-517-1001",
"fax_number": "419-517-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7640 SYLVANIA AVE",
"address_2": "SUITE K",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435609729",
"telephone_number": "419-517-1001",
"fax_number": "419-517-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "KRISTIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-00-5713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00038728",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2420633",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4524124",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.