Meredith Woodward MD Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G57994 Issued in CA

Legal business name

MEREDITH WOODWARD MD INC

Practice address

1381 E Herndon Ave
Ste 101
Fresno, CA 93720-3307

Phone

(559) 281-3220

Fax

(267) 381-6355

NPI assigned

Mar 2, 2015

Last updated

Mar 5, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

MEREDITH WOODWARD MD INCAs reported in NPPES

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

Authorized official

Name

Ms. Brandee Goodnight

Title

Medical Biller

Phone

(559) 432-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Meredith Woodward MD Inc

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1639561533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10474 N DOHENY DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300798",
            "telephone_number": "559-281-3220",
            "fax_number": "267-381-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 E HERNDON AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203307",
            "telephone_number": "559-281-3220",
            "fax_number": "267-381-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH WOODWARD MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEREDITH WOODWARD MD INC",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "GOODNIGHT",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "559-432-5570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G57994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "00G579940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.