Active NPI
Daniel Woodard, M.D.
- Emergency Medicine Physician
- Merritt Island, FL
National Provider Identifier
1659506780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME50140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME50140 | FL | MD | Emergency Medicine Physician |
| 61-25763 | FL | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jpmmh Enterprises of Vero Beach, LLC | Current | Accepting new patients | |
| Bell Eve, Inc. | Current | 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.
-
- Physician Assistant
- Vero Beach, FL
- NPI 1457635773
-
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1679015499
-
- Emergency Medicine Physician
- Lake City, FL
- NPI 1538251186
-
- Neurology Chiropractor
- Titusville, FL
- NPI 1184826489
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
- Ana Maria Williamsen, L.M.T.
- Stephanie M Williamson, LPN
- Bruce Ranne Wills, M.P.T.
- James Henry Wilson III, MD
- Pamela Lawson Wise
- Veronica Jean Wright
- Wuesthoff Brevard Cardiology Group (Brevard Cardiology Group)
- Wuesthoff Multi-Specialty Physicians, LLC
- Wuesthoff Partners in Womens Health LLC (Partners in Women's Health)
- Yaciel F Ferrera DMD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.