Active NPI
George Orris Woodrum, MD
- Anesthesiology Physician
- Fishersville, VA
National Provider Identifier
1306873815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 046346
- Practice address
- Augusta Medical Center Anesthesia Dept
78 Medical Center Drive
Fishersville, VA 22939 - Phone
- (540) 332-4326
- NPI assigned
- Jun 28, 2006
- Last updated
- Nov 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 046346 | VA | Primary |
Addresses
Primary practice location
Augusta Medical Center Anesthesia Dept
78 Medical Center Drive
Fishersville, VA 22939
Mailing address
169 Mitchell LN
Staunton, VA 24401-5593
Phone (540) 887-9690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005762332 | Medicaid | VA |
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 |
|---|---|---|---|
| 046346 | VA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1306873815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MITCHELL LN",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244015593",
"telephone_number": "540-887-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AUGUSTA MEDICAL CENTER ANESTHESIA DEPT",
"address_2": "78 MEDICAL CENTER DRIVE",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "22939",
"telephone_number": "540-332-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUM",
"first_name": "GEORGE",
"middle_name": "ORRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "046346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005762332",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
- Woodorw Wilson Rehabilitation Center
- Woodrow Wilson Rehabilitation Center
- Woodrow Wilson Rehabilitation Center
- Woodrow Wilson Rehbabilitation Center
- Woodrow Wilson Rehbilitation Center
- Hanah Woodward, CF-SLP
- Scott David Woogen, M.D.
- Mary Victoria Wright, NP
- Fernando Antonio Xavier de Matos Filho
- Yury Anatolievich Yakubchyk, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.