Terry E Hicks Woodbeck, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27780 Issued in AZ

Practice address

13055 W McDowell Rd
Suite E-106
Avondale, AZ 85392-6449

Phone

(623) 975-8400

Fax

(623) 935-2975

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terry.woodbeck.1@27373.direct.athenahealth.com

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.

• Hospice of the Valley

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1588682405
  Medicare reassignment NPD
• Versatile Medicine PLLC

  • Internal Medicine Physician
  • Avondale, AZ
  • NPI 1326145608
  Medicare reassignment NPD
• Hospice of the Valley

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
  • NPI 1528086451
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1891706875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "SUITE E-106",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926449",
            "telephone_number": "623-975-8400",
            "fax_number": "623-935-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "SUITE E-106",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926449",
            "telephone_number": "623-975-8400",
            "fax_number": "623-935-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBECK",
        "first_name": "TERRY",
        "middle_name": "E HICKS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27780",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "27780",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486581",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin H Wilson, ACSW-CA
• Tammy Wingfield
• Kasie Wistar
• Melonie Witt
• Thomas Wood
• Natalie Woods
• Sara Woods, RD
• William Woods, PHARMD
• Paul A Woolf, DC
• James Woolum

• Internal Medicine Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.