Active NPI
Judith a. Woods, M.D., P.a.
- Gastroenterology Physician
- Boise, ID
National Provider Identifier
1831429802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M6725
- Legal business name
- JUDITH A. WOODS, M.D., P.A.
- Practice address
- 425 W Bannock St
Boise, ID 83702-6035 - Phone
- (208) 343-1702
- Fax
- (208) 342-7042
- NPI assigned
- Jan 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judith A Woods, MD
- Title
- President
- Phone
- (208) 343-1702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M6725 | ID | Primary |
Addresses
Primary practice location
425 W Bannock St
Boise, ID 83702-6035
Mailing address
425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002701200 | Medicaid | ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1831429802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH A. WOODS, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-343-1702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M6725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002701200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.