Individual provider Active NPI

Joshua Marvin Woolard, M.D.

  • Interventional Pain Medicine Physician
  • Edmond, OK
National Provider Identifier
1942620604
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34555 Issued in OK
Practice address
2017 W I 35 Frontage Rd Ste 140
Edmond, OK 73013-8555
Phone
(405) 757-3630
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 34555 OK Primary

Addresses

Primary practice location

2017 W I 35 Frontage Rd Ste 140
Edmond, OK 73013-8555

Mailing address

2017 W I 35 Frontage Rd Ste 140
Edmond, OK 73013-8555
Phone (405) 757-3630

Other identifiers 1

IdentifierTypeStateIssuer
200838900AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20190611003054 OK Practitioner - Interventional RadiologyPractitioner - AnesthesiologyPractitioner - Pain Management 4183911159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Anesthesiology, Pain Management
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

2017 W I 35 Frontage Rd
Mercy Clinic
Edmond, OK 73013-8504
Phone (405) 757-3365

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Pain Management PLLC CurrentSince Jul 1, 2019 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 10, 2023 Accepting new patients
Summit Medical Center Interventional Pain Medicine Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Interventional Pain Medicine Past Accepting new patients

Locations

2017 W I 35 Frontage Rd
Ste 140
Edmond, OK 73013
Phone (405) 757-3710

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

2017 W I 35 Frontage Rd
Ste 130
Edmond, OK 73013
Phone (405) 757-3630

14101 Parkway Commons Dr
Oklahoma City, OK 73134
Phone (405) 749-2700

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

13313 N Meridian Ave
Ste C
Oklahoma City, OK 73120
Phone (405) 254-1757

3601 NW 138th St
Ste 200
Oklahoma City, OK 73134
Phone (405) 242-4100

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Organizations & group practices 5

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 3

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1942620604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138555",
            "telephone_number": "405-757-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138555",
            "telephone_number": "405-757-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "JOSHUA",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "34555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200838900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.