Organization Active NPI

Mark a. Woods, Inc.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1326379983
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12835 Issued in AL
Legal business name
MARK A. WOODS, INC.
Practice address
2700 University Blvd
Suite 401
Tuscaloosa, AL 35401-1403
Phone
(205) 454-1483
Fax
(205) 507-8356
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Mark A. Woods, MDNPI 1538156674
Title
Owner
Phone
(205) 454-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 12835 AL Primary

Addresses

Primary practice location

2700 University Blvd
Suite 401
Tuscaloosa, AL 35401-1403

Mailing address

2700 University Blvd
Suite 401
Tuscaloosa, AL 35401-1403
Phone (205) 454-1483

Other identifiers 2

IdentifierTypeStateIssuer
117024MedicaidAL
51047977OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1326379983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY BLVD",
            "address_2": "SUITE 401",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011403",
            "telephone_number": "205-454-1483",
            "fax_number": "205-507-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY BLVD",
            "address_2": "SUITE 401",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011403",
            "telephone_number": "205-454-1483",
            "fax_number": "205-507-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. WOODS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-454-1483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117024",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51047977",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.