Woodstock Surgical Clinic, PLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WOODSTOCK SURGICAL CLINIC, PLC

Practice address

103 W South St
Woodstock, VA 22664-1238

Phone

(540) 459-3753

Fax

(540) 459-8928

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Hodson Wymer

Title

Billing Supervisor

Phone

(540) 459-3753

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa A Atkins, PA-C

  • Surgical Physician Assistant
  • Woodstock, VA
  • NPI 1447245741
  NPD (past)
• James Kleinschmidt, MD

  • Surgery Physician
  • Woodstock, VA
  • NPI 1588913941
  NPD (past)
• John S Pulizzi III, MD

  • Surgery Physician
  • Woodstock, VA
  • NPI 1144212820

  Specialist

  NPD (past)
• Torr Erik Carmain, MD

  • Surgery Physician
  • Inverness, FL
  • NPI 1609860444
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679525810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W SOUTH ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641238",
            "telephone_number": "540-459-3753",
            "fax_number": "540-459-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W SOUTH ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641238",
            "telephone_number": "540-459-3753",
            "fax_number": "540-459-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK SURGICAL CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYMER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "HODSON",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "540-459-3753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010042747",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU GROUP",
            "identifier": "76159338",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, GROUP",
            "identifier": "435027",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, DR. CARMAIN",
            "identifier": "435028",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, DR. PULIZZI",
            "identifier": "266315",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CARMAIN, CIGNA",
            "identifier": "8563807002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PULIZZ CIGNA",
            "identifier": "2188487002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodstock Chiropractic Clinic PC
• Woodstock Facility Operations, LLC
• Woodstock Internal Medicine Specialists PC
• Woodstock Rehab & Fitness
• Woodstock Rescue Squad

• Specialist in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.