Individual provider Active NPI

Courtney A. Woodfield, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1730159393
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD426044 Issued in PA
Practice address
3998 Red Lion Road
Philadelphia, PA 19114-1436
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jan 25, 2006
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD426044 PA Primary
Body Imaging Physician 2085B0100X MD426044 PA
Body Imaging Physician 2085B0100X 25MA08691000 NJ
Diagnostic Radiology Physician 2085R0202X 25MA08691000 NJ

Addresses

Primary practice location

3998 Red Lion Road
Philadelphia, PA 19114-1436

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050629000912 PA Practitioner - Diagnostic Radiology 6800832874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Health Imaging LPGroup PAC ID 7618867664, 51 clinicians
Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-8068

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08631000NJMDNeuropathology Physician
25MA08691000NJMDDiagnostic Radiology Physician
MD426044PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Advanced Medical Imaging, LLC CurrentSince May 1, 2017 Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Main Line Health Imaging LP Body Imaging PastSince Mar 1, 2022 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200

120 Valley Green Ln
Kng of Prussa, PA 19406
Phone (610) 526-3000

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

255 W Lancaster Ave
Ste 131
Paoli, PA 19301
Phone (610) 560-8060

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 5

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 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1730159393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141436",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFIELD",
        "first_name": "COURTNEY",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD426044",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD426044",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NJ",
            "license": "25MA08691000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08691000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.