Woodfield Orthopaedics Sports Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WOODFIELD ORTHOPAEDICS SPORTS MEDICINE

Practice address

750 Fletcher Dr
Suite 305
Elgin, IL 60123-4703

Phone

(847) 301-7773

Fax

(847) 301-6506

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberta Baine

Title

Office Manager

Phone

(847) 301-7773

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Woodfield Orthopaedics Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodfield Orthopaedics Sports Medicine LTD

  • Clinic/Center
  • Huntley, IL
  • NPI 1750569059
  NPD tax ID

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1952589632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601934081",
            "telephone_number": "847-301-7773",
            "fax_number": "847-301-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR",
            "address_2": "SUITE 305",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234703",
            "telephone_number": "847-301-7773",
            "fax_number": "847-301-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFIELD ORTHOPAEDICS SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "BAINE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-301-7773"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01635715",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Wood, MD
• Katherine Mr Wood, DPT
• Kelly Wood, MA
• Moira Anne Wood
• Ryan T Woodard
• David Woods
• Woodstock Therapist LLC
• June Audrey Wooten, MSW
• World Class Transit LLC
• Timothy John Worzala

• Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.