Tory W Woodard, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

0101234528 Issued in VA

Practice address

88TH MDG
4881 Sugar Maple Drive
Wpafb, OH 45433

Phone

(937) 257-8349

Fax

(937) 656-1347

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1548255854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-8349",
            "fax_number": "937-656-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88TH MDG",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-8349",
            "fax_number": "937-656-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "TORY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101234528",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101234528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Allen Wainright
• Jill Watson, DDS
• Sarah Marie Wesely, DO
• Drew Eric Widing, PT
• Ra'Mone Williams, AU.D.
• Stephen R Yerian, PSY D
• Nancy Margaret Young, LISW
• Paul H. Zipp
• Brianna Marie Zurawka, LISW

• Aerospace Medicine Physician in Wpafb, OH
• Providers in Wpafb, OH by specialty
• Aerospace Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.

Verify at the official NPI Registry.