Individual provider Active NPI

Mark L Woodard, D.O.

  • Cardiovascular Disease Physician
  • West Burlington, IA
National Provider Identifier
1114975141
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
02278 Issued in IA
Practice address
1223 S Gear Ave
Suite 109
West Burlington, IA 52655-1682
Phone
(319) 768-1820
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 02278 IA Primary

Addresses

Primary practice location

1223 S Gear Ave
Suite 109
West Burlington, IA 52655-1682

Mailing address

1223 S Gear Ave
Suite 109
West Burlington, IA 52655-1682
Phone (319) 768-1820

Other identifiers 3

IdentifierTypeStateIssuer
3261990MedicaidIA
P00172359OtherRAILRAOD MEDICARE
37985OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20040513000008 IA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8022007103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Health Center IncGroup PAC ID 9638570740, shared by 8 NPIs, 52 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1223 S Gear Ave
West Burlington, IA 52655-1685

407 S White St
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02278IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center Inc CurrentSince Oct 31, 2023 Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Great River Orthopaedic Surgery & Sports Medicine PC Past Accepting new patients
Southeast Iowa Cardiology Cardiovascular Disease PastSince Oct 15, 2007 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients

Locations

5409 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Ste 21
Mount Pleasant, IA 52641
Phone (319) 385-5374

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

220 Mulberry St
Ste A
Wapello, IA 52653
Phone (319) 523-3421

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1225 S Gear Ave
Ste 256
West Burlington, IA 52655
Phone (319) 550-2081

1223 S Gear Ave
Ste 109
West Burlington, IA 52655
Phone (319) 753-5474

1223 S Gear Ave
Ste 201
West Burlington, IA 52655
Phone (319) 753-5474

1223 S Gear Ave
Ste 10
West Burlington, IA 52655
Phone (319) 752-7810

1201 W Agency Rd
West Burlington, IA 52655
Phone (319) 394-3991

1225 S Gear Ave
Ste 159
West Burlington, IA 52655
Phone (319) 752-4553

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.

Hospital & facility affiliations 7

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1114975141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 109",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-768-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 109",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-768-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "02278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3261990",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00172359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37985",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.