Active NPI
William W Woodruff, M.D.
- Pediatrics Physician
- Worcester, MA
National Provider Identifier
1679555817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 74504
- Practice address
- 291 Lincoln St
Suite 101
Worcester, MA 01605-3643 - Phone
- (508) 752-7888
- Fax
- (508) 753-6536
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 74504 | MA | Primary |
Addresses
Primary practice location
291 Lincoln St
Suite 101
Worcester, MA 01605-3643
Mailing address
PO Box 415348
Boston, MA 02241-0001
Phone (800) 225-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3087468 | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wwoodruff24015@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- wwoodruff24015@umassmemorial.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1679555817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022410001",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 LINCOLN ST",
"address_2": "SUITE 101",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053643",
"telephone_number": "508-752-7888",
"fax_number": "508-753-6536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "WILLIAM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "74504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3087468",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wwoodruff24015@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "291 Lincoln St",
"address_2": "Suite 101",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016053643",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "291 Lincoln St",
"address_2": "Suite 101",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016053643",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.