NPIMap

Organization Active NPI

Michael Woolman MD PLLC

  • Home Health Registered Nurse
  • Ogden, UT
National Provider Identifier
1487185088
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
163657-1205 Issued in UT
Legal business name
MICHAEL WOOLMAN MD PLLC
Practice address
2406 Woodland Dr
Ogden, UT 84403-5110
Phone
(801) 791-6543
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Michael Woolman, M.D.
Title
Owner/Provider
Phone
(801) 791-6543

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X 163657-1205 UT Primary
Hospice Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH1000X 163657-1205 UT

Addresses

Primary practice location

2406 Woodland Dr
Ogden, UT 84403-5110

Mailing address

PO Box 908
Bountiful, UT 84011-0908

Other identifiers 1

IdentifierTypeStateIssuer
1508833450MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1487185088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 WOODLAND DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035110",
            "telephone_number": "801-791-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WOOLMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "WOOLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-791-6543",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "UT",
            "license": "163657-1205",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "UT",
            "license": "163657-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508833450",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.