Organization Active NPI

James Woodiel M D P C

  • Family Medicine Physician
  • Salem, IN
National Provider Identifier
1760409437
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050035A Issued in IN
Legal business name
JAMES WOODIEL M D P C
Practice address
1002 N Shelby St Ste 1002
Salem, IN 47167-2307
Phone
(812) 883-3885
Fax
(360) 254-3719
NPI assigned
Jul 17, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
James C Woodiel, M.D.NPI 1720008683
Title
Owner
Phone
(812) 883-3885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050035A IN Primary

Addresses

Primary practice location

1002 N Shelby St Ste 1002
Salem, IN 47167-2307

Mailing address

1002 N Shelby St Ste 1002
Salem, IN 47167-2307
Phone (812) 883-3885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000386 IN Part B Supplier - Clinic/Group Practice 8628193877 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, IN

National Provider Directory

National Provider Directory
Tax ID family
James Woodiel M D P C2 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.

Locations

1002 N Shelby St
Ste 1002
Salem, IN 47167
Phone (812) 883-1373

309 Jackson St
Salem, IN 47167
Phone (812) 883-1373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1760409437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1002",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307",
            "telephone_number": "812-883-3885",
            "fax_number": "360-254-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1002",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307",
            "telephone_number": "812-883-3885",
            "fax_number": "360-254-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES WOODIEL M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WOODIEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-883-3885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.