Jesse Willard Woods III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

JESSE WILLARD WOODS III

Practice address

1410 N 31St St
Philadelphia, PA 19121-3870

Phone

(215) 258-4815

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Tiger D. Raven-Melchiz El

Title

Business Manager

Phone

(215) 435-4203

Specialties & licenses 8

Addresses

Other names 1

• JWWIII Medical Brokerage Services Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Willard Woods III

  • Private Vehicle
  • Philadelphia, PA
  • NPI 1033772405

  Case Manager/Care Coordinator

  NPD
• Muhammad L. Robbalaa

  • Counselor
  • Chester, PA
  • NPI 1750935987

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1265093579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213870",
            "telephone_number": "215-258-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213870",
            "telephone_number": "215-258-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE WILLARD WOODS III",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "RAVEN-MELCHIZ EL",
        "authorized_official_first_name": "TIGER D.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "215-435-4203"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JWWIII Medical Brokerage Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JWWIII Medical Brokerage Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janel Jesberger, PA-C
• Kiera Brinn Jeschke, OD
• Jeso Advanced Family Dentistry
• Hussain Jessani, MD
• Jesse J. Suh, Psy.D. LLC
• Jessica Begans LCSW LLC
• Jessica Pavelka Counseling, LLC
• Mariell L Jessup, MD
• Jessica Bright Jester, RN
• Katelyn Alice Jesukiewicz, CRNP

• Case Manager/Care Coordinator in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.