Active NPI
Benjamin Warren Woodson, M.D.
- Urology Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2024025808
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3503 - Phone
- (417) 347-3703
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 88308 | GA | |
| Urology Physician | 208800000X | 30209 | AL | |
| Urology Physician | 208800000X | 24495 | OK | |
| Urology Physician | 208800000X | 2024025808 | MO | Primary |
| Urology Physician | 208800000X | 21735 | MS |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3503
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Other practice location 1
1240 Jesse Jewell Pkwy SE Ste 200
Gainesville, GA 30501-3861
Phone (770) 532-8438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831241504 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Mississippi Medical College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 W 32 St
Joplin, MO 64804-3503
307 W 11TH St
Freeman Lamar Family Care
Lamar, MO 64759-1428
Phone (417) 682-3300
3401 McIntosh Cir
Suite 200
Joplin, MO 64804-3604
Phone (417) 347-8066
Hospital & facility affiliations
- Freeman Health System - Freeman West
- Freeman Neosho Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30209 | AL | MD | Urology Physician |
| 88308 | GA | MD | Urology Physician |
| 2024025808 | MO | MD | Urology Physician |
| 21735 | MS | MD | Urology Physician |
| 24495 | OK | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Gainesville Urology, PC | Current | Accepting new patients |
Locations
1240 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-8438
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
3401 McIntosh Cir
Ste 200
Joplin, MO 64804
Phone (417) 347-3703
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- Specialist
- Gainesville, GA
- NPI 1407872872
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Neosho, MO
- NPI 1598873796
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1831241504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043503",
"telephone_number": "417-347-3703"
}
],
"practiceLocations": [
{
"address_1": "1240 Jesse Jewell Pkwy SE Ste 200",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013861",
"country_code": "US",
"telephone_number": "770-532-8438",
"fax_number": "770-535-1785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODSON",
"first_name": "BENJAMIN",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "88308",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "30209",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OK",
"license": "24495",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2024025808",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "21735",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831241504",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.