Active NPI
Jonathan Woywod
- Family Nurse Practitioner
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704307484
- 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
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 |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners, PC | Current | Accepting new patients | |
| First Choice Urgent Care PC | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| First Choice Medical Group PLLC | Past | 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
- jonathan.woywood.1@20203.direct.athenahealth.com
- jwoywod35158@carelonhealth.direct-ci.com
- https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
- 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.
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1629201264
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
MI, WI
-
- Primary Care Clinic/Center
- Dearborn, MI
- NPI 1750769394
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.