Individual provider Active NPI

William D Woodward, M.D.

  • Cardiovascular Disease Physician
  • Joliet, IL
National Provider Identifier
1285684688
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036050962 Issued in IL
Practice address
1300 Copperfield Ave
Suite 3030
Joliet, IL 60432-2004
Phone
(815) 740-1900
Fax
(815) 729-3294
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036050962 IL Primary

Addresses

Primary practice location

1300 Copperfield Ave
Suite 3030
Joliet, IL 60432-2004

Mailing address

1300 Copperfield Ave
Suite 3030
Joliet, IL 60432-2004
Phone (815) 740-1900

Other identifiers 1

IdentifierTypeStateIssuer
036050962MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036050962ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cardiovascular Consultants,SC Cardiovascular Disease Past Accepting new patients
Cardiology Associates of Northern Illinois Cardiovascular Disease Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1285684688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 COPPERFIELD AVE",
            "address_2": "SUITE 3030",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322004",
            "telephone_number": "815-740-1900",
            "fax_number": "815-729-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COPPERFIELD AVE",
            "address_2": "SUITE 3030",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322004",
            "telephone_number": "815-740-1900",
            "fax_number": "815-729-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036050962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050962",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.