Douglas B Woodruff MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D15413 Issued in MD

Legal business name

DOUGLAS B WOODRUFF MD PA

Practice address

4419 Falls Rd
Suite E
Baltimore, MD 21211-1226

Phone

(410) 889-5455

Fax

(410) 366-0651

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Brian Woodruff, MDNPI 1972779023

Title

Agent for Douglas B Woodruff MD PA

Phone

(410) 889-5455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Douglas Brian Woodruff, MD

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1972779023
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1386769149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 FALLS RD",
            "address_2": "SUITE E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111226",
            "telephone_number": "410-889-5455",
            "fax_number": "410-366-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 FALLS RD",
            "address_2": "SUITE E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111226",
            "telephone_number": "410-889-5455",
            "fax_number": "410-366-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B WOODRUFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "AGENT FOR DOUGLAS B WOODRUFF MD PA",
        "authorized_official_telephone_number": "410-889-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D15413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dougherty, NP
• James Labhras Dougherty
• Wyatt Dougherty
• Doughty Podiatry, P.a.
• Mackenzie Doughty
• Douglas C Miller D C P a
• Briana Grace Douglas, LGPC
• Carole Robinson Douglas, LCPC
• Courtney Douglas, PSYD
• Donald Edward Douglas, P.T.

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.