Juan Latino Woods, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115517 Issued in FL

Practice address

USA Meddac
11050 Mount Belvedere Blvd
Ft Drum, NY 13602

Phone

(315) 772-6091

NPI assigned

Sep 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians

Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4
• Direct secure messaging: 11jwoods@cfaortho.emadirect.md

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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1487093167
  Medicare reassignment Care Compare group
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Manassas, VA
  • NPI 1265871958

  DC

  Medicare reassignment
• Amber Hill Physical Therapy, Inc.

  • Physical Therapist
  • Frederick, MD
  • NPI 1548290224
  Care Compare group
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Chevy Chase, MD
  • NPI 1043650856
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Physical Therapist
  • Marriottsville, MD
  • NPI 1760158612
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Orthopaedic Associates of Central Maryland, PA

  • Orthopaedic Surgery Physician
  • Columbia, MD
  • NPI 1023269396
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frederick Health Hospital Inc

  dba Frederick Health Home Care

  • Home Health Agency
  • Frederick, MD
  • NPI 1306842174
  Care Compare affiliation

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1245758713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MOUNT BELVEDERE BLVD",
            "city": "FT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MOUNT BELVEDERE BLVD",
            "city": "FT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Thomas Johnson Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024348",
            "country_code": "US",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JUAN",
        "middle_name": "LATINO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115517",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leeann Wilson, ATC, LAT
• Jonah Sidney Winakor, MD
• Anton Roy Wineman Jr., PA-C
• Tara E Wise, M.S., O.T.R./L
• Han Yi Woo, FNP
• Lisa Woolridge, PT, DPT
• Carolyn Marie World Turner, LMSW
• Danny Da Hui Wu, PA-C
• Jeanne Yeagle, P.A.
• Dustin Young, PHYSICIAN ASSISTANT

• Physician Assistant in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.