Active NPI
William B Woodward Jr., M.D.
- Anatomic Pathology Physician
- Gillette, WY
National Provider Identifier
1912973330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 5471A
- Practice address
- 501 S Burma Ave
Gillette, WY 82716-3426 - Phone
- (307) 688-1244
- Fax
- (307) 688-1224
- NPI assigned
- Feb 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 5471A | WY | Primary |
| Clinical Pathology Physician | 207ZC0006X | 5471A | WY |
Addresses
Primary practice location
501 S Burma Ave
Gillette, WY 82716-3426
Mailing address
PO Box 100517
Fort Worth, TX 76185-0517
Phone (817) 731-7771
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307127 | Other | WY | BCBS |
| 220032568 | Other | WY | MEDICARE RR |
| 122244900 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5471A | WY | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Past | Accepting new patients | |
| Campbell County Hospital District | Past | Accepting new patients | |
| Fetal Care Consultants, LLC. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
- Maternal & Fetal Medicine Physician
- Dallas, TX
- NPI 1578883187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1912973330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100517",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761850517",
"telephone_number": "817-731-7771",
"fax_number": "817-731-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S BURMA AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163426",
"telephone_number": "307-688-1244",
"fax_number": "307-688-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "WILLIAM",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-25",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "WY",
"license": "5471A",
"primary": true
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "WY",
"license": "5471A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "307127",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "220032568",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122244900",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.