Thomas C. Wooldirdge, MD: a Professional Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

13859 Issued in LA

Legal business name

THOMAS C. WOOLDIRDGE, MD: A PROFESSIONAL CORPORATION

Practice address

1921 N Washington St
Bastrop, LA 71220-2431

Phone

(318) 283-0400

Fax

(318) 283-0400

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Clayton Wooldridge, M.D.

Title

President

Phone

(318) 283-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Thomas C Wooldirdge MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas C. Wooldridge a Professional Corporation

  • Surgery Physician
  • Bastrop, LA
  • NPI 1770794604
  NPD tax ID

Locations

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1750558789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1640",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712211640",
            "telephone_number": "318-283-0400",
            "fax_number": "318-283-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712202431",
            "telephone_number": "318-283-0400",
            "fax_number": "318-283-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. WOOLDIRDGE, MD: A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-283-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": "13859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303712",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Arc of Morehouse
• The Arc of Morehouse
• The Arc of Morehouse
• Therapeutic Interventions
• Therapeutic Interventions
• Thomas C. Wooldridge a Professional Corporation
• Adella Thomas
• Latoria Thomas
• Lisa Thomas
• Sandra Thompson, CLP-202351-LAB

• Health Service Clinic/Center in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.