Wooldridge Medical Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 9287 Issued in FL

Legal business name

WOOLDRIDGE MEDICAL GROUP, LLC

Practice address

1345 W Bay Dr
Suite 405
Largo, FL 33770-2282

Phone

(727) 213-9888

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stanley S Moles, MD

Title

Physician / Owner

Phone

(727) 213-9888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1124365523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 405",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "727-213-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 405",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "727-213-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLDRIDGE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "MOLES",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "727-213-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 9287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Wood, LMHC
• Santiira Woodard, M.S., BCBA
• Katrina Woodring, PHARMD
• Kristin Woodward, PT
• Woody Brown DC PA
• Nicole Wooten
• Kiwana Works
• Worman Foot and Ankle Associates
• Worman Foot and Ankle Associates
• Bella Rebecca Worman, DPM

• Specialist in Largo, FL
• Providers in Largo, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.