NPIMap

Individual provider Active NPI

Stephen Michael Woof, PA-C ATC

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1396739835
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003518 Issued in VA
Practice address
10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone
(540) 710-1086
Fax
(540) 710-1126
NPI assigned
Sep 9, 2005
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003518 VA Primary

Addresses

Primary practice location

10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637

Mailing address

7508 Sterling Dr
Fredericksburg, VA 22407-7379
Phone (540) 848-3710

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address STEPHEN.WOOF@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000244 VA Practitioner - Physician Assistant 2769669001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spotsylvania Multi-Specialty Group, LLCGroup PAC ID 1153455514, 8 clinicians

Practice addresses (Care Compare)

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4054

4604 Spotsylvania Pkwy
Suite 200
Fredericksburg, VA 22408-7763
Phone (540) 358-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.58 of 100Reported as group
Quality
95.53
Promoting interoperability
100
Improvement activities
40
Cost
73.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110003518VAMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1396739835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 STERLING DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077379",
            "telephone_number": "540-848-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082637",
            "telephone_number": "540-710-1086",
            "fax_number": "540-710-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOF",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STEPHEN.WOOF@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10620 Spotsylvania Ave",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224082637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.