Individual provider Active NPI

Daniel Woodard, M.D.

  • Emergency Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1659506780
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME50140 Issued in FL
Practice address
703 Chase Hammock Rd
Merritt Island, FL 32953-7913
Phone
(321) 794-3531
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X ME50140 FL
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 61-25763 FL
Emergency Medicine Physician 207P00000X ME50140 FL Primary

Addresses

Primary practice location

703 Chase Hammock Rd
Merritt Island, FL 32953-7913

Mailing address

703 Chase Hammock Rd
Merritt Island, FL 32953-7913
Phone (321) 794-3531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000410 FL Practitioner - Addiction MedicinePractitioner - Emergency Medicine 8820131972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jpmmh Enterprises of Vero Beach, LLCGroup PAC ID 5991963415, 2 clinicians

Practice addresses (Care Compare)

777 37TH St
Suite C102
Vero Beach, FL 32960-7301
Phone (772) 226-5026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME50140FLMDEmergency Medicine Physician
61-25763FLMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jpmmh Enterprises of Vero Beach, LLC CurrentSince Dec 27, 2014 Accepting new patients
Bell Eve, Inc. CurrentSince Mar 1, 2020 Accepting new patients
North Florida Emergency Physicians Emergency Medicine Past Accepting new patients
Titusville Total Healthcare LLC Past Accepting new patients

Locations

1451 Dixon Blvd
Cocoa, FL 32922
Phone (321) 549-5005

777 37th St
Ste C102
Vero Beach, FL 32960
Phone (772) 226-5026

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1659506780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CHASE HAMMOCK RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329537913",
            "telephone_number": "321-794-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 CHASE HAMMOCK RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329537913",
            "telephone_number": "321-794-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "FL",
            "license": "ME50140",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "FL",
            "license": "61-25763",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME50140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.