Nancy K. Woodruff, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18230 Issued in OK

Legal business name

NANCY K. WOODRUFF, MD, PC

Practice address

108 SE Ave N
Idabel, OK 74745-1228

Phone

(580) 286-4343

NPI assigned

Apr 10, 2007

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy K Woodruff, MD

Title

Physician

Phone

(580) 286-4343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1851514947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747451228",
            "telephone_number": "580-286-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE AVE N",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747451228",
            "telephone_number": "580-286-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY K. WOODRUFF, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-286-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.