Active NPI
Patrick Andrew Woodard, MD, MHA
- Hospitalist Physician
- Reno, NV
National Provider Identifier
1295029098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 15184
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-7878
- Fax
- (775) 982-4196
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15184 | NV | |
| Hospitalist Physician | 208M00000X | 15184 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
1155 Mill St Ms M14
Reno, NV 89502-1576
Phone (775) 982-5262
Other practice location 1
10101 Double R Blvd
Reno, NV 89521-3149
Phone (775) 982-7878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12669652 | Other | CAQH | |
| 1295029098 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15184 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1295029098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST MS M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196"
}
],
"practiceLocations": [
{
"address_1": "10101 Double R Blvd",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895213149",
"country_code": "US",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODARD",
"first_name": "PATRICK",
"middle_name": "ANDREW",
"credential": "MD, MHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "15184",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "15184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12669652",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295029098",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.