Individual provider Active NPI

James L Woolley, M.D.

  • Urology Physician
  • Saint Helena, CA
National Provider Identifier
1225037757
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G45484 Issued in CA
Practice address
6 Woodland Road
Suite 104
St. Helena, CA 94574-9554
Phone
(707) 963-1031
Fax
(707) 963-3487
NPI assigned
Jul 18, 2005
Reactivated
Apr 5, 2006
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G45484 CA
Urology Physician 208800000X G45484 CA Primary
Specialist 174400000X CA

Addresses

Primary practice location

6 Woodland Road
Suite 104
St. Helena, CA 94574-9554

Mailing address

6 Woodland Road.
Suite 104
St. Helena, CA 94574-9554
Phone (707) 963-1031

Other identifiers 1

IdentifierTypeStateIssuer
00G454841MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45484CAMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1225037757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODLAND ROAD.",
            "address_2": "SUITE 104",
            "city": "ST. HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-1031",
            "fax_number": "916-678-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND ROAD",
            "address_2": "SUITE 104",
            "city": "ST. HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-1031",
            "fax_number": "707-963-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-06-17",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45484",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G45484",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G454841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.