Individual provider Active NPI

Jacob Herbert Woodard, PA-C

  • Physician Assistant
  • Avon, IN
National Provider Identifier
1720859176
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
120 Avon Marketplace, Ste 200
Avon, IN 46123-6021
Phone
(317) 671-8032
Fax
(317) 671-8033
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IN Primary

Addresses

Primary practice location

120 Avon Marketplace, Ste 200
Avon, IN 46123-6021

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002852 IN Practitioner - Physician Assistant 7719479849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

120 N Avon Ave
Suite 200
Avon, IN 46123-8475
Phone (317) 671-8032

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana, L.L.C. CurrentSince Nov 1, 2025 Accepting new patients
Urology of Indiana L.L.C. Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients

Locations

120 Avon Market Pl
Ste 200
Avon, IN 46123
Phone (317) 671-8032

2907 S McIntire Dr
Ste A
Bloomington, IN 47403
Phone (812) 332-8765

13420 N Meridian St
Ste 270
Carmel, IN 46032
Phone (317) 338-6666

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

1159 W Jefferson St
Ste 302
Franklin, IN 46131
Phone (317) 736-7651

1 Memorial Sq
Ste 225
Greenfield, IN 46140
Phone (317) 462-0700

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

8902 N Meridian St
Ste 104
Indianapolis, IN 46260
Phone (317) 816-8960

2312 S Dixon Rd
Ste 240
Kokomo, IN 46902
Phone (765) 455-4075

2705 N Lebanon St
Ste 360
Lebanon, IN 46052
Phone (317) 428-5044

1215 Hadley Rd
Ste 203
Mooresville, IN 46158
Phone (317) 831-3043

Organizations & group practices 2

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 2

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1720859176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "317-671-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AVON MARKETPLACE, STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236021",
            "telephone_number": "317-671-8032",
            "fax_number": "317-671-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JACOB",
        "middle_name": "HERBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.