Qeena C Woodard, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-005278 Issued in IL

Practice address

3471 Green Bay Road
North Chicago, IL 60064-1174

Phone

(847) 473-4357

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosalind Franklin University HealthGroup PAC ID 6002902798, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: qeena.woodard.p1@direct.lakecountyil.nextgenshare.com
• Direct secure messaging: qeena.woodard.2@3569.direct.athenahealth.com
• Direct secure messaging: qeena.woodard.1@3547.direct.athenahealth.com

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.

• Rosalind Franklin University Health

  • Durable Medical Equipment & Medical Supplies
  • North Chicago, IL
  • NPI 1982894911
  Medicare reassignment Care Compare group
• Carlos F Smith DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1609063155
  Medicare reassignment NPD
• Podiatric Management Systems LLC

  • Primary Podiatric Medicine Podiatrist
  • Lake Zurich, IL
  • NPI 1396968053
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1548210339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101174",
            "telephone_number": "312-808-0018",
            "fax_number": "312-808-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 GREEN BAY ROAD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641174",
            "telephone_number": "847-473-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W North Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101174",
            "country_code": "US",
            "telephone_number": "312-808-0018",
            "fax_number": "312-808-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "QEENA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001092A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001633214",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen F Witt, MSW
• Gabriela Wojdyla
• Janice Wojtecki
• Deborah Ann Wolfe
• Jeremy Wolfe, MD
• Wilma Jean Woollard, APN, CNP
• Shanice Wright
• Stephanie C.S. Wu, DPM.
• John Thucidides Xanthopoulos, M.D.
• Anthony Madayanakavil Xavier, PHARM.D

• Podiatrist in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.