Individual provider Active NPI

Harold Arthur Woodcome Jr., MD

  • Retina Specialist (Ophthalmology) Physician
  • Providence, RI
National Provider Identifier
1124024245
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD4854 Issued in RI
Practice address
101 Plain St Ste 101
Providence, RI 02903-4828
Phone
(401) 274-5844
Fax
(401) 274-9462
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD4854 RI
Retina Specialist (Ophthalmology) Physician 207WX0107X MD4854 RI Primary

Addresses

Primary practice location

101 Plain St Ste 101
Providence, RI 02903-4828

Mailing address

101 Plain St Ste 101
Providence, RI 02903-4828
Phone (401) 274-5844

Other identifiers 2

IdentifierTypeStateIssuer
6147518MedicaidMA
7000374MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awoodcome@rcri.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEACA

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1124024245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034828",
            "telephone_number": "401-274-5844",
            "fax_number": "401-274-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034828",
            "telephone_number": "401-274-5844",
            "fax_number": "401-274-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOME",
        "first_name": "HAROLD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD4854",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "RI",
            "license": "MD4854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6147518",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000374",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awoodcome@rcri.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Plain St Ste 101",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.