NPIMap

Organization Active NPI

Dr Larry Woods Inc

  • Cardiovascular Disease Physician
  • Warren, OH
National Provider Identifier
1407901663
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34002495W Issued in OH
Legal business name
DR LARRY WOODS INC
Practice address
8600 E Market St Ste 8
Warren, OH 44484-2375
Phone
(330) 469-9035
Fax
(330) 288-0586
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Larry Woods, D.O.NPI 1417936238
Title
President
Phone
(330) 727-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 34002495W OH Primary

Addresses

Primary practice location

8600 E Market St Ste 8
Warren, OH 44484-2375

Mailing address

614 Avalon Dr SE
Warren, OH 44484-2180
Phone (330) 727-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200715003510 OH Part B Supplier - Clinic/Group Practice 0941624589 Receives reassigned benefits from 2 practitioners
Practice locations: Warren, OH
O20251015003873 PA Part B Supplier - Clinic/Group Practice 0941624589 Receives reassigned benefits from 2 practitioners
Practice locations: Sharon, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1407901663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 AVALON DR SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842180",
            "telephone_number": "330-727-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E MARKET ST STE 8",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842375",
            "telephone_number": "330-469-9035",
            "fax_number": "330-288-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LARRY WOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-727-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34002495W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.