Individual provider Active NPI

William Walter Woodruff III, M.D.

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1679551725
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27350 Issued in NC
Practice address
1331 N. Elm St.
Ste. 200
Greensboro, NC 27401-6304
Phone
(336) 274-9617
Fax
(336) 482-2177
NPI assigned
Jan 8, 2006
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27350 NC Primary

Addresses

Primary practice location

1331 N. Elm St.
Ste. 200
Greensboro, NC 27401-6304

Mailing address

1331 N. Elm St.
Ste. 200
Greensboro, NC 27401-6304
Phone (336) 274-9617

Other identifiers 4

IdentifierTypeStateIssuer
213625AOtherMEDICARE
300033906OtherNCRAILROAD MEDICARE
8989124MedicaidNC
89124OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041108000489 NC Practitioner - Diagnostic Radiology 9436112786 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27350NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jun 6, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 1, 2012 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 1, 2012 Accepting new patients
Cornerstone Health Care PA PastSince Jan 1, 1990 Accepting new patients
High Point Radiological Services Diagnostic Radiology Past Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients
Cornerstone Health Care LLC PastSince Jan 1, 1990 Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

218 Gatewood Ave
High Point, NC 27262
Phone (336) 802-2030

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1679551725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N. ELM ST.",
            "address_2": "STE. 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N. ELM ST.",
            "address_2": "STE. 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "WILLIAM",
        "middle_name": "WALTER",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-08",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "27350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "213625A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300033906",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989124",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "89124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.