NPIMap

Individual provider Active NPI

Larry A Woods, DO

  • Cardiovascular Disease Physician
  • Warren, OH
National Provider Identifier
1417936238
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34-00-2495-W Issued in OH
Practice address
8600 E Market St Ste 8
Warren, OH 44484-2375
Phone
(330) 469-9035
Fax
(330) 288-0586
NPI assigned
Jan 11, 2006
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34-00-2495-W 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

Other identifiers 2

IdentifierTypeStateIssuer
0514698MedicaidOH
060003079OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040120000698 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9133020258 Reassigns benefits to 1 organization
I20251015004025 PA Practitioner - Cardiovascular Disease (Cardiology) 9133020258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Larry Woods IncGroup PAC ID 0941624589, 2 clinicians

Practice addresses (Care Compare)

740 E State St
Sharon, PA 16146-3328
Phone (330) 469-9035

8600 E Market St
Suite 8
Warren, OH 44484-2375
Phone (330) 469-9035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as individual
Quality
94.86
Promoting interoperability
90
Improvement activities
40
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Bisel, DO & Associates, LLC CurrentSince Oct 13, 2020 Accepting new patients
Dr Larry Woods Inc Cardiovascular Disease CurrentSince May 1, 2020 Accepting new patients

Locations

8600 E Market St
Ste 8
Warren, OH 44484
Phone (330) 372-0260

9375 E Market St
Ste 3
Warren, OH 44484
Phone (330) 392-0100

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

Interoperability endpoints

  • Direct secure messaging: larry.woods.1@25756.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1417936238",
    "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": {
        "last_name": "WOODS",
        "first_name": "LARRY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34-00-2495-W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514698",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060003079",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.