Stephen J Woodruff, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

042-0005972 Issued in VT

Practice address

22 Eastview Lane
Berlin, VT 05641-5317

Phone

(802) 479-4006

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1225051766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EASTVIEW LANE",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415317",
            "telephone_number": "802-479-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 EASTVIEW LANE",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056415317",
            "telephone_number": "802-479-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "042-0005972",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VT",
            "license": "042-0005972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007497",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart E Williams, M.D.
• Daniel Wilson, DO
• Kelvey Richards Wilson, M.D.
• Maureen Claire Wilson, LICSW
• Rosanna J Woodard, PA-C
• Debra K Wucik, LADC
• Gail Susan Yanowitch, MD
• Catherine L. Young, MSW
• Marie L Zagroba, M.D.
• Eduards Gunars Ziedins, M.D.

• Gynecology Physician in Berlin, VT
• Providers in Berlin, VT by specialty
• Gynecology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.