Todd R Woodward, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-1277 Issued in ID

Practice address

868 E Riverside Dr
Ste 170
Eagle, ID 83616-5412

Phone

(208) 995-2802

NPI assigned

Aug 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: todd.woodward.1@33093.direct.athenahealth.com

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1609243187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR",
            "address_2": "STE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165412",
            "telephone_number": "208-995-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR",
            "address_2": "STE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165412",
            "telephone_number": "208-995-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "TODD",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Wong, MD
• Brian Wong
• Cynthia Woodhouse, MPT
• Natalie Woods
• Staci Celeste Woods, MPT
• Vicki L Wooll, MD MPH
• Jon Robert Worbets, LPCC
• Morgan Would
• Ashley Wright, MA, CCC-SLP
• Biyu Yang, RDN

• Medical Physician Assistant in Eagle, ID
• Providers in Eagle, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.