Jonathan H Woodcock MD & Assoc PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

29436 Issued in CO

Legal business name

JONATHAN H WOODCOCK MD & ASSOC PC

Practice address

8515 Pearl St
203
Thornton, CO 80229-4809

Phone

(303) 288-7882

Fax

(303) 288-7874

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Jonathan Hugh Woodcock, M.D.NPI 1851398903

Title

President

Phone

(303) 288-7882

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Neurological Rehabilitation Resource PC Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Woodcock, MD

  • Neurology Physician
  • Aurora, CO
  • NPI 1851398903

  Neurology

  NPD (past) Authorized official
• William E Ballas, PA-C

  • Surgical Physician Assistant
  • Centennial, CO
  • NPI 1902844269
  NPD (past)
• Ann Craig, MD

  • Neurology Physician
  • Thornton, CO
  • NPI 1508975988

  Neurology

  NPD (past)
• Tatyana M Wright, PA-C

  • Physician Assistant
  • Central Point, OR
  • NPI 1336236744
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1316944283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST",
            "address_2": "203",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294809",
            "telephone_number": "303-288-7882",
            "fax_number": "303-288-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST",
            "address_2": "203",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294809",
            "telephone_number": "303-288-7882",
            "fax_number": "303-288-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN H WOODCOCK MD & ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "WOODCOCK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-288-7882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "29436",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "29436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019857",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "WOL5918",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "JOL5908",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurological Rehabilitation Resource PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raquel Simey Johnson, LCSW
• Samantha Kate Johnson
• Shannon Johnstad, PA
• Carol B. Johnston, APN
• Travis Johnston
• Austin Taylor Jones, MD, PHD
• Christopher Brian Jones, M.D.
• Debra Lynn Jones, L.P.N.
• Joshua B Jones, DPT
• Kattie Jane Jones, CPM

• All providers in Thornton, CO
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.