Individual provider Active NPI

Jonathan Woywod

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1710381967
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704307484 Issued in MI
Practice address
30178 Warley CT
Novi, MI 48377-2193
Phone
(734) 439-1511
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704307484 MI Primary

Addresses

Primary practice location

30178 Warley CT
Novi, MI 48377-2193

Mailing address

30178 Warley CT
Novi, MI 48377-2193
Phone (734) 439-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160425000040 MI Practitioner - Nurse Practitioner 9032418124 Reassigns benefits to 2 organizations
I20260416001954 WI Practitioner - Nurse Practitioner 9032418124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC CurrentSince Oct 27, 2025 Accepting new patients
First Choice Urgent Care PC CurrentSince Oct 1, 2025 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
First Choice Medical Group PLLC PastSince Oct 1, 2025 Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

3200 Greenfield Rd
Dearborn, MI 48120
Phone (313) 409-0846

23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001

31450 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 438-6094

18200 23 Mile Rd
Macomb, MI 48044
Phone (586) 992-5500

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

22 Century Blvd
Ste 310
Nashville, TN 37214
Phone (224) 278-3000

Interoperability endpoints

  • Direct secure messaging: jonathan.woywood.1@20203.direct.athenahealth.com
  • Direct secure messaging: jwoywod35158@carelonhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jwoywod@landmarkhealth-direct.org

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1710381967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30178 WARLEY CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772193",
            "telephone_number": "734-439-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30178 WARLEY CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772193",
            "telephone_number": "734-439-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYWOD",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.