Joanna Angela Woodruff

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

308444 Issued in NY

Practice address

1304 Buckley Rd Ste 200
Syracuse, NY 13212-4317

Phone

(315) 478-3311

Fax

(315) 476-5211

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology Associates of Syracuse, P.C.

  • Nephrology Physician
  • Syracuse, NY
  • NPI 1831276823
  Medicare reassignment

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1881113488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124317",
            "telephone_number": "315-478-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124317",
            "telephone_number": "315-478-3311",
            "fax_number": "315-476-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "JOANNA",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "308444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Laura Wood
• Tara Marie Wood
• Jessica Woodard, DPT
• Kristin Marie Woodard, M.S.
• Brittany Woodruff, DO
• Charles Ira Woods III, M.D.
• Sarah Beth Woods, M.S.
• Stephanie Anne Woodworth, LMSW
• Robert A Worden, CRNA
• Pertrina Works, LCSW

• Nephrology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.