Individual provider Active NPI

Richard N Woodruff, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond, IN
National Provider Identifier
1629141734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01034950 Issued in IN
Practice address
1050 Reid Parkway
Suite 220
Richmond, IN 47374-1907
Phone
(765) 962-9541
Fax
(765) 966-5952
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01034950 IN Primary

Addresses

Primary practice location

1050 Reid Parkway
Suite 220
Richmond, IN 47374-1907

Mailing address

1050 Reid Parkway
Suite 220
Richmond, IN 47374-1907
Phone (765) 962-9541

Other identifiers 1

IdentifierTypeStateIssuer
100256830AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034950INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GYN LTD Obstetrics & Gynecology Current Accepting new patients

Locations

1050 Reid Pkwy
Ste 220
Richmond, IN 47374
Phone (765) 962-9541

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629141734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 REID PARKWAY",
            "address_2": "SUITE 220",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741907",
            "telephone_number": "765-962-9541",
            "fax_number": "765-966-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PARKWAY",
            "address_2": "SUITE 220",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741907",
            "telephone_number": "765-962-9541",
            "fax_number": "765-966-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "RICHARD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01034950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.