Charmaine Blake Woode, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35086564 Issued in OH

Practice address

117 South Main Street
Dayton, OH 45422

Phone

(937) 225-4954

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Diabetes and Endocrine Wellness Center LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Huntsville, AL
  • NPI 1255623021

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750445946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750966",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "43475",
            "telephone_number": "937-439-0676",
            "fax_number": "937-439-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SOUTH MAIN STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45422",
            "telephone_number": "937-225-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODE",
        "first_name": "CHARMAINE",
        "middle_name": "BLAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35086564",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "21793",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "043150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2597588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia C Wood, MD
• William Roberts Wood, MD
• Markita Woodall
• Taralyn Woodall
• Valencia S Woodard
• Issac James Woodfork
• Wilma Nannette Woodfork
• Valerie Ann Woodley, RN-BSN
• Woodman Pharmacy
• Woodman Primary Care LLC

• Pediatrics Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.