Individual provider Active NPI

Andrea C Woods, M.D.

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1376541334
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0049198 Issued in FL
Practice address
6316 Bahama Shores Dr S
St Petersburg, FL 33705-5438
Phone
(727) 365-7371
Fax
(727) 865-0078
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 66167 CT
Specialist 174400000X ME0049198 FL Primary

Addresses

Primary practice location

6316 Bahama Shores Dr S
St Petersburg, FL 33705-5438

Mailing address

PO Box 12438
St Petersburg, FL 33733-2438
Phone (727) 365-7371

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

LicenseStateTypeSpecialty
ME0049198FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Multi-Specialty Current Accepting new patients
Andrea Woods MD PA Multi-Specialty CurrentSince Oct 3, 2005 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 8, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 8, 2019 Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Pinellas Ekg Interpreters Inc Multi-Specialty Past Accepting new patients
Suncoast Medical Clinic LLC Multi-Specialty Past Accepting new patients

Locations

1099 5th Ave N
Ste 170
St Petersburg, FL 33705
Phone (727) 820-7870

530 South St
Greensburg, PA 15601
Phone (724) 830-8527

410 Pellis Rd
Ste 2A
Greensburg, PA 15601
Phone (724) 689-1070

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: andrea.woods@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1376541334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12438",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337332438",
            "telephone_number": "727-365-7371",
            "fax_number": "727-865-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 BAHAMA SHORES DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055438",
            "telephone_number": "727-365-7371",
            "fax_number": "727-865-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "66167",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0049198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.