Active NPI
Thomas J Woods, M.D.
- Ophthalmology Physician
- Clinton, NC
National Provider Identifier
1912978735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25675
- Practice address
- 603 Beamon St
Clinton, NC 28328-2650 - Phone
- (910) 592-2122
- Fax
- (910) 592-7196
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25675 | NC | Primary |
Addresses
Primary practice location
603 Beamon St
Clinton, NC 28328-2650
Mailing address
603 Beamon St
Clinton, NC 28328-2650
Phone (910) 592-2122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8989150 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1912978735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 BEAMON ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282650",
"telephone_number": "910-592-2122",
"fax_number": "910-592-7196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 BEAMON ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282650",
"telephone_number": "910-592-2122",
"fax_number": "910-592-7196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "25675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8989150",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.