Woodland Healthcare LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WOODLAND HEALTHCARE LLC

Practice address

8865 W 400 N Ste 100
Michigan City, IN 46360-9223

Phone

(219) 877-2222

Fax

(219) 877-2220

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. G Thor Thordarson

Title

Administrator

Phone

(219) 877-2222

Specialties & licenses 1

Addresses

Other names 1

• Woodland Healthcare SurgiCenter Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225118474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 W 400 N STE 100",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609223",
            "telephone_number": "219-877-2222",
            "fax_number": "219-877-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N STE 100",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609223",
            "telephone_number": "219-877-2222",
            "fax_number": "219-877-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORDARSON",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "THOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-877-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Healthcare SurgiCenter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shantae Wofford
• Charles Wolf, PT
• Todd Noel Wolford, FNP-BC
• Reynold A Wolter, LCSW
• Rae-Londa Marie Woodard, MSN, FNP-BC
• Woodland Pain Center
• Woodland Wellness and Rehabilitation
• Workforce Health LLC
• Kristina Wu, M.D.
• Bernardo Israel Yahuaca, MD

• Ambulatory Surgical Clinic/Center in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.