NPIMap

Individual provider Active NPI

Alexa G Woodson, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1720082266
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20116 Issued in OK
Practice address
3500 NW 56TH St
Suite 100
Oklahoma City, OK 73112-4529
Phone
(405) 917-3518
Fax
(405) 951-4361
NPI assigned
Jun 13, 2005
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 20116 OK Primary

Addresses

Primary practice location

3500 NW 56TH St
Suite 100
Oklahoma City, OK 73112-4529

Mailing address

5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 917-3518

Other identifiers 1

IdentifierTypeStateIssuer
245519606OtherOKMEDICARE NUMBER

Other names 1

  • Alexa Garner Braithwaite Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000855 OK Practitioner - Family Practice 6103853460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Paradox Inc.Group PAC ID 4183067481, 3 clinicians
Great Plains Medical FoundationGroup PAC ID 9335188184, 12 clinicians
NR Shawnee LLCGroup PAC ID 8224476171, 7 clinicians

Practice addresses (Care Compare)

3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 657-3120

3625 NW 56TH St
Suite 200
Oklahoma City, OK 73112-4509
Phone (405) 951-2855

3700 N Kickapoo Ave
Suite 116
Shawnee, OK 74804-0007
Phone (405) 551-8103

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Medical Foundation Family Medicine CurrentSince Jul 24, 2013 Accepting new patients
Premier Paradox Inc CurrentSince Jan 23, 2024 Accepting new patients
NR Broken Arrow, LLC Family Medicine CurrentSince Mar 25, 2024 Accepting new patients
NR Shawnee, LLC Family Medicine CurrentSince Mar 15, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients
Select Specialty Hospital - Oklahoma City Inc Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

1150 E Lansing St
Broken Arrow, OK 74012
Phone (918) 258-9990

1152 E Lansing St
Broken Arrow, OK 74012

3500 NW 56th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 951-2855

3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700

3625 NW 56th St
Ste 200
Oklahoma City, OK 73112
Phone (405) 951-2855

3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903

3700 N Kickapoo Ave
Ste 116
Shawnee, OK 74804
Phone (405) 275-6747

Interoperability endpoints

  • Direct secure messaging: awoodson@yourcarecommunity.org
  • Direct secure messaging: awoodson23324@direct.integrisok.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1720082266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-917-3518",
            "fax_number": "405-951-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NW 56TH ST",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124529",
            "telephone_number": "405-917-3518",
            "fax_number": "405-951-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "ALEXA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "245519606",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "BRAITHWAITE",
            "middle_name": "GARNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.