Active NPI
Laine Woodard, PA-C
- Physician Assistant
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002760
- Practice address
- 24500 Northwestern Hwy
Southfield, MI 48075-2414 - Phone
- (248) 359-1008
- Fax
- (248) 353-6193
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002760 | MI | Primary |
Addresses
Primary practice location
24500 Northwestern Hwy
Southfield, MI 48075-2414
Mailing address
57435 Spaulding CT
New Hudson, MI 48165-9824
Phone (248) 359-1008
Other names 1
- Laine Delmonico
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 36TH St
Suite 6094
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Pasadena Center for Asthma & Lung Disorders LLC | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Dr L Reynolds Assoc PC | Past | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients |
Locations
1615 Pasadena Ave S
Ste 200
South Pasadena, FL 33707
Phone (727) 341-0551
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
5454 Central Ave
Ste A
St Petersburg, FL 33707
Phone (727) 347-5242
1000 36th St
#6094
Vero Beach, FL 32960
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Pulmonary Disease Physician
- Saint Petersburg, FL
- NPI 1396981635
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
-
- Neurology Physician
- Vero Beach, FL
- NPI 1104378363
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
-
- Specialist
- Southfield, MI
- NPI 1669423265
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1962455055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57435 SPAULDING CT",
"city": "NEW HUDSON",
"state": "MI",
"postal_code": "481659824",
"telephone_number": "248-359-1008",
"fax_number": "248-353-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24500 NORTHWESTERN HWY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752414",
"telephone_number": "248-359-1008",
"fax_number": "248-353-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "LAINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAINE",
"last_name": "DELMONICO",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.