NPIMap

Individual provider Active NPI

Douglas Winfield Woolard, MD

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
National Provider Identifier
1730141367
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101038235 Issued in VA
Practice address
601 Front Avenue
Suite #502
Coeur D Alene, ID 83814
Phone
(208) 415-0524
Fax
(208) 763-3644
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101038235 VA Primary

Addresses

Primary practice location

601 Front Avenue
Suite #502
Coeur D Alene, ID 83814

Mailing address

601 Front Avenue
Suite #502
Coeur D Alene, ID 83814
Phone (208) 415-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Converse County Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Lake Cumberland Regional Hospital, LLC Family Medicine Past Accepting new patients
Hardin Professional Services, LLC Family Medicine Past Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1730141367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRONT AVENUE",
            "address_2": "SUITE #502",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-415-0524",
            "fax_number": "208-763-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRONT AVENUE",
            "address_2": "SUITE #502",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-415-0524",
            "fax_number": "208-763-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "DOUGLAS",
        "middle_name": "WINFIELD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101038235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.