Individual provider Active NPI

Graeme Frederick Woodworth, M.D.

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1154473064
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D069012 Issued in MD
Practice address
22 S Greene St
Department of Neurosurgery, S-12-D
Baltimore, MD 21201-1544
Phone
(410) 328-3113
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D069012 MD Primary

Addresses

Primary practice location

22 S Greene St
Department of Neurosurgery, S-12-D
Baltimore, MD 21201-1544

Mailing address

17 Meadow Rd
Baltimore, MD 21212-1022
Phone (410) 818-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120709000235 MD Practitioner - Neurosurgery 1052576550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shock Trauma Associates PAGroup PAC ID 6800882317, 258 clinicians
University of Maryland Neurosurgery Associates P aGroup PAC ID 9133187750, 24 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D069012MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurosurgery Associates P a Neurological Surgery CurrentSince Jul 1, 2012 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Aug 14, 2012 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
#S12D
Baltimore, MD 21201
Phone (410) 328-8621

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Ste S12D
Baltimore, MD 21201
Phone (410) 328-6034

5900 Waterloo Rd
Ste 250
Columbia, MD 21045
Phone (667) 214-2201

5900 Waterloo Rd
Ste 120
Columbia, MD 21045
Phone (240) 917-2770

Interoperability endpoints

  • Direct secure messaging: gwoodworth61357@direct.umm.edu

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.

Hospital & facility affiliations 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1154473064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEADOW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121022",
            "telephone_number": "410-818-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPARTMENT OF NEUROSURGERY, S-12-D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "GRAEME",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D069012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.