Active NPI
Theodore Woods Jr., M.D. MPH
- General Practice Physician
- New York, NY
National Provider Identifier
1386875185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 266543
- Practice address
- 250 W49Th St
Suite 501
New York, NY 10019 - Phone
- (212) 586-7830
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 266543 | NY | Primary |
| State or Local Public Health Clinic/Center | 261QP0905X |
Addresses
Primary practice location
250 W49Th St
Suite 501
New York, NY 10019
Mailing address
330 School Street
Apt. 29
Frisco City, AL 36445
Phone (787) 414-5411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266543 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poarch Band of Creek Indians | Current | Accepting new patients | |
| Dana Jane Saltzman MD PC | Past | Accepting new patients |
Locations
5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1710080668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1386875185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SCHOOL STREET",
"address_2": "APT. 29",
"city": "FRISCO CITY",
"state": "AL",
"postal_code": "36445",
"telephone_number": "787-414-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W49TH ST",
"address_2": "SUITE 501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-586-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D. MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "266543",
"primary": true
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.