NPIMap

Individual provider Active NPI

Kenneth Lee Woods II, DO

  • Infectious Disease Physician
  • Steubenville, OH
National Provider Identifier
1457514937
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
34010221 Issued in OH
Practice address
4100 Johnson Rd Ste 202
Steubenville, OH 43952-2372
Phone
(740) 264-8537
Fax
(740) 346-2024
NPI assigned
Jul 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 34010221 OH Primary
Emergency Medicine Physician 207P00000X 010221 OH
Internal Medicine Physician 207R00000X OS015559 PA

Addresses

Primary practice location

4100 Johnson Rd Ste 202
Steubenville, OH 43952-2372

Mailing address

380 Summit Ave
Mso Physician Billing
Steubenville, OH 43952-2667
Phone (740) 283-7597

Other identifiers 3

IdentifierTypeStateIssuer
0050414MedicaidOH
3810025729MedicaidWV
H012060OtherOHMEDICARE (OHIO)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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
I20110817000405 OH Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Emergency Medicine 6103095609 Reassigns benefits to 1 organization
I20241028000234 WV Practitioner - Infectious Disease 6103095609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2416 Pennsylvania Ave
Weirton, WV 26062-3639
Phone (740) 264-8567

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
48.02
Promoting interoperability
91
Improvement activities
40
Cost
71.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010221OHMDEmergency Medicine Physician
OS015559PAMDInternal Medicine Physician
34010221OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Infectious Disease Care Inc Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

601 Colliers Way
Fl 9
Weirton, WV 26062
Phone (304) 797-6410

2416 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 479-9105

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHFDD/Endpoint/JGHFDD

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": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1457514937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVE",
            "address_2": "MSO PHYSICIAN BILLING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 202",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522372",
            "telephone_number": "740-264-8537",
            "fax_number": "740-346-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-06",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "34010221",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "010221",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050414",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025729",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (OHIO)",
            "identifier": "H012060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.