Active NPI
Elevation Health LLC
- Clinic/Center
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ELEVATION HEALTH LLC
- Practice address
- 1745 W 33Rd St
Edmond, OK 73013-3831 - Phone
- (406) 309-4780
- NPI assigned
- Sep 13, 2023
- Last updated
- Oct 4, 2024
- 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
- Charles Tate Woodward, DO
- Title
- Physician/Owner
- Phone
- (406) 309-4780
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
1745 W 33Rd St
Edmond, OK 73013-3831
Mailing address
1745 W 33Rd St
Edmond, OK 73013-3831
Phone (406) 309-4780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2309134 | Elevation Health | Certificate of waiver | Aug 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
1745 W 33rd St
Edmond, OK 73013
Phone (405) 826-2256
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Hospitalist Physician
- Edmond, OK
- NPI 1760606917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1841077807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 W 33RD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133831",
"telephone_number": "406-309-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 W 33RD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133831",
"telephone_number": "406-309-4780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATION HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "WOODWARD",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "TATE",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "406-309-4780",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
- Jodi Lynn Elderton, DNP, APRN-CNP
- Isabel Marie Eldridge
- Elements of Life Counseling Center, LLC
- Elevate Health and Wellness
- Elevate Physical Therapy
- Lee Ayers Eliot, D.D.S.
- Elite Chiropractic Group, LLC
- Elite Physical Therapy, PLLC (Elite Physical Therapy)
- Elite Stretcher LLC
- Elite Therapy, LLC (Elite Therapy Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.