Individual provider Active NPI

Robert Hodges Woolard, M.D.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1861452609
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N1960 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905
Phone
(915) 215-4600
Fax
(915) 545-7338
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD05851 RI
Emergency Medicine Physician 207P00000X N1960 TX Primary

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905

Mailing address

440 Raynolds St
El Paso, TX 79905-1613
Phone (915) 215-4480

Other identifiers 1

IdentifierTypeStateIssuer
7000121MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040916000191 MA Practitioner - Emergency MedicinePractitioner - Internal Medicine 0941106801
I20081016000423 TX Practitioner - Emergency Medicine 0941106801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Physician Assistant Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Emergency Medicine CurrentSince Jan 24, 2015 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 24, 2015 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Affilion LLC Past Accepting new patients
Nes Rhode Island, Inc. Emergency Medicine Past Accepting new patients
Texas Tech University Health Sciences Center Odessa PastSince Dec 9, 2019 Accepting new patients
Emergency Medicine Physicians of Providence County, LLC Emergency Medicine Past Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4801 Alberta Ave
#B3200
El Paso, TX 79905
Phone (915) 545-7333

4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478

9849 Kenworthy St
El Paso, TX 79924
Phone (915) 215-5500

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • Direct secure messaging: woolard.robert.meei@direct.partners.masshiway.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1861452609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYNOLDS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051613",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-4600",
            "fax_number": "915-545-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "ROBERT",
        "middle_name": "HODGES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD05851",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N1960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000121",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.