Individual provider Active NPI

Justin Woodruff, MD

  • Family Medicine Physician
  • Linden, MI
National Provider Identifier
1487237913
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301509752 Issued in MI
Practice address
6379 Silver Lake Rd
Linden, MI 48451-8706
Phone
(810) 735-7847
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301509752 MI Primary

Addresses

Primary practice location

6379 Silver Lake Rd
Linden, MI 48451-8706

Mailing address

3495 S Center Rd
Burton, MI 48519-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807000935 MI Practitioner - Family Practice 9032511134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

6379 Silver Lake Rd
Linden, MI 48451-8706
Phone (810) 735-7847

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Aug 1, 2024 Accepting new patients
Henry Ford Medical Group Genesys Family Medicine Current Accepting new patients
Genesys Pho LLC CurrentSince Aug 1, 2024 Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients

Locations

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

6379 Silver Lake Rd
Linden, MI 48451
Phone (810) 735-7847

Interoperability endpoints

  • Direct secure messaging: jwoodruff1158122@direct.hfhs.org
  • Direct secure messaging: justinwoodruff@pmi.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1487237913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6379 SILVER LAKE RD",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518706",
            "telephone_number": "810-735-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301509752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, MI

Sources for this page

Verify at the official NPI Registry.