Active NPI
Susanne T Woodlan, M.D.
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Olney, MD
National Provider Identifier
1447253679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) Physician
- License
- D0050262
- Practice address
- 18111 Prince Philip Dr
Ste 111
Olney, MD 20832-1503 - Phone
- (301) 774-6500
- Fax
- (301) 774-5461
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | D0050262 | MD | Primary |
Addresses
Primary practice location
18111 Prince Philip Dr
Ste 111
Olney, MD 20832-1503
Mailing address
7 Granite PL Unit 416
Gaithersburg, MD 20878-6594
Phone (301) 602-7166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376596200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1447253679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GRANITE PL UNIT 416",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208786594",
"telephone_number": "301-602-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR",
"address_2": "STE 111",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321503",
"telephone_number": "301-774-6500",
"fax_number": "301-774-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLAN",
"first_name": "SUSANNE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VB0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": "MD",
"license": "D0050262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376596200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.