Lewis Olentheus Woods Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G138867 Issued in CA

Practice address

700 Adeline St
Oakland, CA 94607-2608

Phone

(510) 836-9610

Fax

(510) 893-4333

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The West Oakland Health Council

  dba Baywell Health

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1679522627
  NPD (past)
• The West Oakland Health Council

  dba Albert J. Thomas Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1700906757
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194867226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JASMINE CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064751",
            "telephone_number": "925-964-0727",
            "fax_number": "510-893-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-836-9610",
            "fax_number": "510-893-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "LEWIS",
        "middle_name": "OLENTHEUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G138867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Woods
• Destany Woods
• Kaylie Woods
• Kelly Ray Woods, AMFT
• Lequan Melvin Woods
• Maria Fakaros Woods, M.D.
• Mariana Woods
• Nancy Woods, RN
• Schalon Woods, BA
• Jessica Woodson, D.D.S.

• Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.