Woodhouse Medical Clinic P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

03200 Issued in IA

Legal business name

WOODHOUSE MEDICAL CLINIC P.C.

Doing business as

Family Dermatology

Practice address

903 Willson Ave
Webster City, IA 50595-2214

Phone

(515) 832-3332

Fax

(515) 832-1114

NPI assigned

Oct 19, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary-Lou Ernst-Woodhouse, D.O.

Title

President

Phone

(515) 832-3332

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Dermatology Doing business as

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1740362003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WILLSON AVE",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952214",
            "telephone_number": "515-832-3332",
            "fax_number": "515-832-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WILLSON AVE",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952214",
            "telephone_number": "515-832-3332",
            "fax_number": "515-832-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHOUSE MEDICAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ERNST-WOODHOUSE",
        "authorized_official_first_name": "MARY-LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-832-3332",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IA",
            "license": "03200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183889",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jade A Williams, ARNP
• Benjamin J. Willis, D.P.M.
• Wolfe Clinic Eye Centers, LC
• Wolfe Clinic Eye Centers, LC
• Shelley Lynne Woodall, RDLD
• Donald John Woodhouse, M.D.
• Anthony Wubben, LMSW
• Sara Marie Zorn, OTR/L

• Dermatology Physician in Webster City, IA
• Providers in Webster City, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.