Individual provider Active NPI

William Jeff Wooddell, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1144369984
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24839 Issued in CO
Practice address
825 East Pikes Peak Ave
Suite 600 Pikes Peak Hospice
Colorado Springs, CO 80903-3624
Phone
(719) 633-3400
Fax
(719) 633-3800
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 24839 CO Primary

Addresses

Primary practice location

825 East Pikes Peak Ave
Suite 600 Pikes Peak Hospice
Colorado Springs, CO 80903-3624

Mailing address

3013 Springdowns Place
Colorado Springs, CO 80906
Phone (719) 576-1551

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24839COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Hospice and Palliative Care Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1144369984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 SPRINGDOWNS PLACE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-576-1551",
            "fax_number": "719-576-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EAST PIKES PEAK AVE",
            "address_2": "SUITE 600 PIKES PEAK HOSPICE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033624",
            "telephone_number": "719-633-3400",
            "fax_number": "719-633-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODDELL",
        "first_name": "WILLIAM",
        "middle_name": "JEFF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "24839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.