Individual provider Active NPI

Laine Woodard, PA-C

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1962455055
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002760 Issued in MI
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

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227003469 FL Practitioner - Physician Assistant 9638180003 Reassigns benefits to 3 organizations

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
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

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 Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jan 26, 2026 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Aug 1, 2025 Accepting new patients
Pasadena Center for Asthma & Lung Disorders LLC CurrentSince Nov 21, 2024 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Aug 1, 2025 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 26, 2026 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.