Amy R. Wooldridge, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01058321A Issued in IN

Practice address

1 Memorial SQ Ste 305
Greenfield, IN 46140-3308

Phone

(317) 462-6662

Fax

(317) 468-6275

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Indiana University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
• Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037
• Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Hancock Physician Network, LLC

  • Family Medicine Physician
  • Greenfield, IN
  • NPI 1609806470
  Medicare reassignment Care Compare group NPD
• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1255418356
  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003
  Care Compare affiliation
• Henry County Memorial Hospital

  • General Acute Care Hospital
  • New Castle, IN
  • NPI 1356428429
  Care Compare affiliation
• Suburban Home Health, LLC

  • Home Health Agency
  • Noblesville, IN
  • NPI 1598872939
  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286755200000",
    "number": "1386624070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461400129",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 305",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403308",
            "telephone_number": "317-462-6662",
            "fax_number": "317-468-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "AMY",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058321A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01058321A",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01058321A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP#/LOCATION",
            "identifier": "200311740H,L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "900284355",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200486100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN#",
            "identifier": "7482613",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN#",
            "identifier": "000000364755",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott D Wilson, LCSW, LCAC
• Dionne Wofford
• Heather Renee Wolfe, N.P.
• Melinda Sue Wolfe
• Chavaughn Woods, BCBA
• Kristy Lee Woolery
• Angela Wright, BCBA
• Candice Wyatt, PA-C
• Young Greenfield Dental Practice LLC (Silvertree Dental Center)
• Kirbie Young, RN

• Internal Medicine Physician in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.