Matthew Bernard Woods IV, MD
Individual provider Active NPI Family Medicine Physician · Olivet, MI
NPI 1831294487 · NPPES record last updated Mar 8, 2013
Key facts
- NPI
- 1831294487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301080477 (MI)
- Practice address
- 202 N Main St
Olivet, MI 49076-9465 - Phone
- (269) 749-2131
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Past | Accepting new patients | |
| Dayone City Care | Family Medicine | Past | Accepting new patients |
| Ella E M Brown Charitable Circle | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-dayone
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301080477 | MI | Yes |
Addresses
Primary practice location
202 N Main St
Olivet, MI 49076-9465
Mailing address
202 N Main St
PO Box 454
Olivet, MI 49076-9465
Phone (269) 749-2131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104763894 | Medicaid | MI |
Other providers in Olivet, MI
- Daniel John Peterson
- Chacko Joseph Puthentharayil
- Stephanie Satz
- Kyle Sroka
- Brittany Amanda Noel Turner
All providers in Olivet, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.