Andrew H Woldorf, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

23177 Issued in SC

Practice address

4840 Forest Dr
PMB #350
Columbia, SC 29206-4810

Phone

(803) 790-9002

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321

  Ophthalmology

  Medicare reassignment NPD
• Andrew H. Woldorf MD

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1659336444
  NPD (past) Authorized official
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Carolina Glaucoma and Vision Center

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1700931979
  NPD (past)
• University Specialty Clinics - Ophthalmology

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1275561771
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1376508176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 HARDEN STREET EXT",
            "address_2": "15 MEDICAL PARK, SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036894",
            "telephone_number": "803-434-6410",
            "fax_number": "803-434-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 FOREST DR",
            "address_2": "PMB #350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064810",
            "telephone_number": "803-790-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDORF",
        "first_name": "ANDREW",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "23177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T73408",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOLDORF STATE LICENSE #",
            "identifier": "23177",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L Woda, APRN
• Elizabeth Derrick Wofford, M.D.
• John Elihu Wofford IV, M.D.
• Heather Ann Wogoman, APRN
• Kayla Anne Wolcott, PHARMD
• Holly ('Ree') Irene Wolfe
• Shanley Wolfe
• Tacoma Wolfe, RN
• Donna Wolff, APRN, ANP-BC
• Jennifer J Wolff, MSW

• Ophthalmology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.