Individual provider Active NPI

Elizabeth Dorothy Woodard, M.D.,M.P.H.

  • Public Health & General Preventive Medicine Physician
  • Rochester, NY
National Provider Identifier
1215260260
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
104718-1 Issued in NY
Practice address
200 Ridge Rd W
Kodak Medical Department
Rochester, NY 14652-3402
Phone
(585) 722-5703
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 104718-1 NY Primary

Addresses

Primary practice location

200 Ridge Rd W
Kodak Medical Department
Rochester, NY 14652-3402

Mailing address

200 Ridge Rd W
Kodak Medical Department
Rochester, NY 14652-3402
Phone (585) 722-5703

Other names 1

  • Miss Elizabeth Dorothy Vanderpool Former name

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
104718-1NYMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1215260260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIDGE RD W",
            "address_2": "KODAK MEDICAL DEPARTMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146523402",
            "telephone_number": "585-722-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIDGE RD W",
            "address_2": "KODAK MEDICAL DEPARTMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146523402",
            "telephone_number": "585-722-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "ELIZABETH",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "104718-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VANDERPOOL",
            "middle_name": "DOROTHY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.