Woodland Clinic, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP04998 Issued in OH

Legal business name

WOODLAND CLINIC, INC.

Practice address

106 Gateway Ave
Conneaut, OH 44030-2349

Phone

(440) 593-7360

Fax

(440) 593-6407

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Eric Hunt, D.O.

Title

President

Phone

44059373690

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1740481746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GATEWAY AVE",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302349",
            "telephone_number": "440-593-7360",
            "fax_number": "440-593-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GATEWAY AVE",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302349",
            "telephone_number": "440-593-7360",
            "fax_number": "440-593-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "44059373690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP04998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2751517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Elaine Weber, MD
• Ronald P Welker
• Elaina Cabrere Williams, D.O.
• Jack Parker Williams, LPTA
• Rebecca Fay Wilson, RN
• Donna Lee Judkins Workman, CNP
• Anthony Michael Wroblesky Jr., DDS
• Moon K Yoon, MD

• Nurse Practitioner in Conneaut, OH
• Providers in Conneaut, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.