Active NPI
Judith W Heath, MD
- Family Medicine Physician
- Sun City West, AZ
National Provider Identifier
1437199536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11678
- Practice address
- 14416 W Meeker Blvd
BLDG C
Sun City West, AZ 85375-5284 - Phone
- (623) 583-5100
- Fax
- (623) 583-5816
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11678 | AZ | Primary |
Addresses
Primary practice location
14416 W Meeker Blvd
BLDG C
Sun City West, AZ 85375-5284
Mailing address
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260323 | Medicaid | AZ |
Other names 1
- Judith L Wooding
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11678 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1437199536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13640 N PLAZA DEL RIO BLVD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814846",
"telephone_number": "623-876-3800",
"fax_number": "623-583-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14416 W MEEKER BLVD",
"address_2": "BLDG C",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755284",
"telephone_number": "623-583-5100",
"fax_number": "623-583-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "JUDITH",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "11678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260323",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "WOODING",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.