Douglas Jerome Woida, MS PAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1865 Issued in WI

Practice address

8500 W Capitol Dr Ste 100
Milwaukee, WI 53222-1869

Phone

(414) 431-5004

Fax

(414) 431-2959

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interpedia SCGroup PAC ID 5698856375, 5 clinicians

MCMC Urgicare LLCGroup PAC ID 0648220244, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Interpedia, S.C.

  • Clinic/Center
  • Thiensville, WI
  • NPI 1568432979
  Medicare reassignment Care Compare group
• MCMC Urgicare LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1134238017
  Medicare reassignment Care Compare group
• Greater Milwaukee Medical Services

  • General Practice Physician
  • Milwaukee, WI
  • NPI 1639100720

  Physician Assistant

  NPD (past)
• Wisconsin Neurosurgery SC

  • Non-Pharmacy Dispensing Site
  • Brookfield, WI
  • NPI 1861750440
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1790823045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 ORIOLE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662373",
            "telephone_number": "414-759-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W CAPITOL DR STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221869",
            "telephone_number": "414-431-5004",
            "fax_number": "414-431-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOIDA",
        "first_name": "DOUGLAS",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "MS PAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1865-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790823045",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Woehlck, MD
• Jolynn Susan Woehrer, MA, MSP, MSW, APSW
• Jaime Woelbing
• Keith F Woeltje, MD
• Nathan Wohner
• Kevin David Wojcik, D.O.
• Samuel Wojcinski, DPT
• Samantha Marie Wojnowiak, APNP
• Melissa Lynn Wojtkowski, APNP
• Victoria Wolak, DPT

• Physician Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.