Individual provider Active NPI

James C Woodiel, M.D.

  • Family Medicine Physician
  • Salem, IN
National Provider Identifier
1720008683
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050035A Issued in IN
Practice address
1002 N Shelby St Ste 1002
Salem, IN 47167-2307
Phone
(812) 883-3885
Fax
(812) 883-5909
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050035A IN Primary

Addresses

Primary practice location

1002 N Shelby St Ste 1002
Salem, IN 47167-2307

Mailing address

309 Jackson St
Salem, IN 47167-1035
Phone (812) 883-1373

Other identifiers 3

IdentifierTypeStateIssuer
200204640AMedicaidIN
000000067743OtherINANTHEM BCBS
080137535OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100113000569 IN Practitioner - Family Practice 9931240934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 Jackson St
Salem, IN 47167-1035
Phone (812) 883-1373

Hospital & facility affiliations

  • Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050035AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Woodiel M D P C Family Medicine CurrentSince Jun 20, 2010 Accepting new patients
Coastal Care Corporation Past Accepting new patients
Viverant Integrative Clinic LLC Family Medicine Past Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients
James Woodiel MD PC Past Accepting new patients
Martin Memorial Physician Corporation Inc Past Accepting new patients

Locations

309 Jackson St
Salem, IN 47167
Phone (812) 883-1373

1002 N Shelby St
Ste 1002
Salem, IN 47167
Phone (812) 883-1373

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1720008683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671035",
            "telephone_number": "812-883-1373",
            "fax_number": "812-883-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1002",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307",
            "telephone_number": "812-883-3885",
            "fax_number": "812-883-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODIEL",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050035A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204640A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000067743",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080137535",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.