Jack Todd Woodring

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

171184 Issued in OH

Practice address

5611 Gallia St
Portsmouth, OH 45662-5520

Phone

(740) 529-0083

NPI assigned

Sep 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1750931119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625520",
            "telephone_number": "740-529-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625520",
            "telephone_number": "740-529-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "JACK",
        "middle_name": "TODD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "171184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Wolfe, LPN
• Ashley Wolfram, PA
• Charles Chu-Li Wong, M.D.
• Karen R Wood
• Tiffany Wood, LSW
• Brandi Woods, CDCA
• Jamie L Woods
• Steven L Woolley, MD
• Charles Stephen Woolums, MD
• Lena Rae Wooton, M.ED., LPCC-S

• Community/Behavioral Health Agency in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.