Active NPI
Christopher M Woods, PA-C
- Urology Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- PA181919
- Practice address
- 2973 12TH Street SE
Salem, OR 97302-3162 - Phone
- (503) 561-7100
- Fax
- (503) 561-7124
- NPI assigned
- May 3, 2016
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA181919 | OR | |
| Urology Physician | 208800000X | PA181919 | OR | Primary |
Addresses
Primary practice location
2973 12TH Street SE
Salem, OR 97302-3162
Mailing address
2973 12TH Street SE
Salem, OR 97302-3162
Phone (503) 561-7100
Other practice location 1
1508 Division St Ste 15
Oregon City, OR 97045-1583
Phone (503) 692-3750
Other practice location 2
1003 Providence Dr Ste 315
Newberg, OR 97132-7524
Phone (503) 692-3750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500731282 | Medicaid | OR | |
| 2085135 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA181919 | OR | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
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.
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1306291802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2973 12TH STREET SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973023162",
"telephone_number": "503-561-7100",
"fax_number": "503-561-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2973 12TH STREET SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973023162",
"telephone_number": "503-561-7100",
"fax_number": "503-561-7124"
}
],
"practiceLocations": [
{
"address_1": "1508 Division St Ste 15",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970451583",
"country_code": "US",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1003 Providence Dr Ste 315",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971327524",
"country_code": "US",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA181919",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OR",
"license": "PA181919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500731282",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085135",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.