Individual provider Active NPI

Suzette Anne Woodward, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Grand Island, NE
National Provider Identifier
1215972047
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20561 Issued in NE
Practice address
2620 W Faidley Ave
Grand Island, NE 68803-4205
Phone
(308) 398-5424
Fax
(308) 398-5429
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20561 NE Primary

Addresses

Primary practice location

2620 W Faidley Ave
Grand Island, NE 68803-4205

Mailing address

2407 Cottonwood Rd
Grand Island, NE 68801-7563
Phone (308) 381-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20040527000874 NE Practitioner - Pathology 4385625029 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center PC CurrentSince Nov 1, 2024 Accepting new patients
Urology Center PC CurrentSince Jul 1, 2025 Accepting new patients
Grand Island Dermatology PC CurrentSince Aug 1, 2016 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Nov 1, 2021 Accepting new patients
Adult & Pediatric Urology, PC CurrentSince Nov 1, 2024 Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients

Locations

418 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-9300

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

10707 Pacific St
Ste 101
Omaha, NE 68114

Interoperability endpoints

  • Direct secure messaging: suzette.woodward.p1@direct.tuc.nextgenshare.com
  • Direct secure messaging: swoodward187435@uihcdirect.org
  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215972047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 COTTONWOOD RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688017563",
            "telephone_number": "308-381-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034205",
            "telephone_number": "308-398-5424",
            "fax_number": "308-398-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "SUZETTE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "20561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.