NPIMap

Individual provider Active NPI

Edward M Woodle, D.O.

  • Family Medicine Physician
  • Indiana, PA
National Provider Identifier
1912004177
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007141L Issued in PA
Practice address
660 Stutzman Rd
Indiana, PA 15701-3603
Phone
(724) 465-9000
Fax
(724) 465-7617
NPI assigned
Sep 20, 2006
Last updated
Mar 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007141L PA Primary

Addresses

Primary practice location

660 Stutzman Rd
Indiana, PA 15701-3603

Mailing address

660 Stutzman Rd
Indiana, PA 15701-3603
Phone (724) 465-9000

Other identifiers 3

IdentifierTypeStateIssuer
1465395OtherPAUMWA
714382OtherPAHIGHMARK
0012770100007MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000052 PA Practitioner - Family Practice 8325049026 Reassigns benefits to 1 organization
Practice locations: Indiana, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

660 Stutzman Rd
Indiana, PA 15701-3603
Phone (724) 465-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007141LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S Wilson Diagnostic Pathology LLC Current Accepting new patients
Indiana Healthcare Physician Services Inc Family Medicine CurrentSince Nov 24, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

660 Stutzman Rd
Indiana, PA 15701
Phone (724) 465-9000

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1912004177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 STUTZMAN RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013603",
            "telephone_number": "724-465-9000",
            "fax_number": "724-465-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 STUTZMAN RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013603",
            "telephone_number": "724-465-9000",
            "fax_number": "724-465-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLE",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007141L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1465395",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "714382",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012770100007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.