Active NPI
James Ward Woessner, MD, PHD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Makawao, HI
National Provider Identifier
1922446707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 12467
- Practice address
- 3240 Old Haleakala Hwy
Makawao, HI 96768-8505 - Phone
- (808) 250-1128
- NPI assigned
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 12467 | HI | Primary |
Addresses
Primary practice location
3240 Old Haleakala Hwy
Makawao, HI 96768-8505
Mailing address
3240 Old Haleakala Hwy
Makawao, HI 96768-8505
Phone (808) 250-1128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000N73D6 | Medicaid | TX |
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12467 | HI | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1922446707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 OLD HALEAKALA HWY",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688505",
"telephone_number": "808-250-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 OLD HALEAKALA HWY",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688505",
"telephone_number": "808-250-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOESSNER",
"first_name": "JAMES",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "HI",
"license": "12467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000N73D6",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.