Woodward Internal Medicine, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD061999L Issued in PA

Legal business name

WOODWARD INTERNAL MEDICINE, INC.

Practice address

2375 Woodward St
Suite 115
Philadelphia, PA 19115-5120

Phone

(215) 671-9003

Fax

(215) 671-9004

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Yelena Yachmenyova, MD

Title

Owner

Phone

(215) 671-9003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1285652255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST",
            "address_2": "SUITE 115",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155120",
            "telephone_number": "215-671-9003",
            "fax_number": "215-671-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST",
            "address_2": "SUITE 115",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155120",
            "telephone_number": "215-671-9003",
            "fax_number": "215-671-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "YACHMENYOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-671-9003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD061999L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017308530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Sanchez Woodson, CRNP
• John Woodson II
• Lorenzo Adrian Woodson
• Robert H Woodson, MD
• Shamayara Woodson, MHS
• Astrid Elizabeth Woodward-Lee, M.D.
• Laura Anne Woodward, CRNP
• Melanie Woodward, M.D.
• Steven Gerard Woodward Jr., M.D.
• Dusty Woodworth, MSN, CRNP, WHNP-BC

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.