Active NPI
Jeffrey L Woodward, M.D.
- Physical Medicine & Rehabilitation Physician
- Springfield, MO
National Provider Identifier
1306891296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 100758
- Practice address
- 3801 S National Ave
West Tower, Suite 900
Springfield, MO 65807-5210 - Phone
- (417) 885-8888
- Fax
- (417) 881-7638
- NPI assigned
- May 23, 2006
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | C-7554 | AR | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 100758 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
West Tower, Suite 900
Springfield, MO 65807-5210
Mailing address
PO Box 9434
Springfield, MO 65801-9434
Phone (417) 885-8888
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168118001 | Medicaid | AR | |
| 4188130001 | Other | MO | CIGNA MEDICARE |
| 5421593001 | Other | MO | CIGNA HEALTHCARE |
| 203420716 | Medicaid | MO | |
| 149639 | Other | MO | BLUE CROSS/CHOICE |
| F10812 | Other | MO | USPS (W/C) |
| 2086 | Other | MO | COX HEALTH PLANS UPI |
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 |
|---|---|---|---|
| C-7554 | AR | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- jeff.woodward@cernerdirect.coxhealth.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1306891296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9434",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658019434",
"telephone_number": "417-885-8888",
"fax_number": "417-881-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"address_2": "WEST TOWER, SUITE 900",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-885-8888",
"fax_number": "417-881-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AR",
"license": "C-7554",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "100758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168118001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "4188130001",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "5421593001",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203420716",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/CHOICE",
"identifier": "149639",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USPS (W/C)",
"identifier": "F10812",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH PLANS UPI",
"identifier": "2086",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.