Active NPI
Clifton Mac Gregor Woodford, M.D.
- Family Medicine Physician
- Sheboygan, WI
National Provider Identifier
1528041787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55998-20
- Practice address
- 2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129 - Phone
- (920) 457-4461
- Fax
- (920) 459-1483
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- 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 | 55998-20 | WI | Primary |
Addresses
Primary practice location
2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Mailing address
2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55998-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physician Network LLC Series II | Current | Accepting new patients | |
| Decatur County General Hospital | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients |
Locations
1040 River Heritage Blvd
Bradenton, FL 34212
Phone (941) 917-6440
6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678
6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678
Interoperability endpoints
- cwoodford45335@aurora.direct-ci.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1821518028
-
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
-
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- General Acute Care Hospital
- Parsons, TN
- NPI 1104804566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1528041787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 KOHLER MEMORIAL DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813129",
"telephone_number": "920-457-4461",
"fax_number": "920-459-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 KOHLER MEMORIAL DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813129",
"telephone_number": "920-457-4461",
"fax_number": "920-459-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODFORD",
"first_name": "CLIFTON",
"middle_name": "MAC GREGOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "55998-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.