Organization Active NPI

Janet P Woodyard MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Owings Mills, MD
National Provider Identifier
1629235551
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
JANET P WOODYARD MD LLC
Practice address
20 Crossroads Dr
Suite 12
Owings Mills, MD 21117-5419
Phone
(410) 363-9000
Fax
(410) 363-9380
NPI assigned
May 19, 2008
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Janet P Woodyard, M.D.NPI 1811058381
Title
Owner
Phone
(410) 363-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD Primary

Addresses

Primary practice location

20 Crossroads Dr
Suite 12
Owings Mills, MD 21117-5419

Mailing address

20 Crossroads Dr
Suite 12
Owings Mills, MD 21117-5419
Phone (410) 363-9000

Other identifiers 4

IdentifierTypeStateIssuer
DO6928OtherGARAILROAD MEDICARE
129986OtherMDMEDICARE
A801 0001OtherDCCAREFIRST
A801 0001OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080902000474 MD Part B Supplier - Clinic/Group Practice 4183797178 Receives reassigned benefits from 1 practitioner
Practice locations: Hunt Valley, MD; Owings Mills, MD; Windsor Mill, MD

National Provider Directory

National Provider Directory

Locations

20 Crossroads Dr
Ste 12
Owings Mills, MD 21117
Phone (410) 363-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1629235551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 12",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-363-9000",
            "fax_number": "410-363-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 12",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-363-9000",
            "fax_number": "410-363-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET P WOODYARD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "WOODYARD",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-363-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO6928",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "129986",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "A801 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "A801 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.