Active NPI
Jeffrey Scott Woodruff, DC
- Chiropractor
- Manheim, PA
National Provider Identifier
1629164546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011484
- Practice address
- 1223 Lancaster Rd
Manheim, PA 17545-9803 - Phone
- (717) 879-9910
- Fax
- (717) 879-9912
- NPI assigned
- Oct 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011484 | PA | Primary |
| Chiropractor | 111N00000X | 1993 | AL |
Addresses
Primary practice location
1223 Lancaster Rd
Manheim, PA 17545-9803
Mailing address
1223 Lancaster Rd
Manheim, PA 17545-9803
Phone (717) 879-9910
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200123662 | Other | AL | ALL OTHER INSURANCE |
| 51517785 | Other | AL | BCBS |
| 825083672 | Other | PA | ALL OTHER INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
960 Schillinger Rd S
Suite D
Mobile, AL 36695-8975
Phone (251) 525-9512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011484 | PA | MD | Chiropractor |
| 1993 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petrey Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Body Mind & Spine | Chiropractor | Current | Accepting new patients |
Locations
960 Schillinger Rd S
Ste D
Mobile, AL 36695
Phone (251) 525-9512
1516 Schillinger Rd S
Mobile, AL 36695
Phone (251) 635-1224
Organizations & group practices 2
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.
-
- Chiropractor
- Mobile, AL
- NPI 1184251324
-
- Chiropractor
- Mobile, AL
- NPI 1679196919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1629164546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 LANCASTER RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459803",
"telephone_number": "717-879-9910",
"fax_number": "717-879-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 LANCASTER RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459803",
"telephone_number": "717-879-9910",
"fax_number": "717-879-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011484",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1993",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCE",
"identifier": "200123662",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51517785",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCE",
"identifier": "825083672",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.