Active NPI
Christopher Woodward, CRNA
- Certified Registered Nurse Anesthetist
- Estherville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 064084
- Practice address
- 826 N 8TH St
Estherville, IA 51334-1528 - Phone
- (712) 362-2631
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 064084 | IA | Primary |
Addresses
Primary practice location
826 N 8TH St
Estherville, IA 51334-1528
Mailing address
203 N 8TH St
Estherville, IA 51334-1922
Phone (712) 209-3556
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16442 | Other | IA | BLUE CROSS OF IA |
| 3311 | Other | AVERA HEALTH PLANS | |
| 11538329 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38074 | IA | MD | Orthopaedic Surgery Physician |
| 064084 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mason City Ambulatory Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mason City Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000
606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
400 10th St E
Waconia, MN 55387
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Mason City, IA
- NPI 1689251720
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Spencer, IA
- NPI 1871568493
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Estherville, IA
- NPI 1508810177
-
- Critical Access Hospital
- Pocahontas, IA
- NPI 1346241213
-
- Critical Access Hospital
- Pocahontas, IA
- NPI 1609989581
-
- Ambulatory Surgical Clinic/Center
- Mason City, IA
- NPI 1902841398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1972503928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N 8TH ST",
"city": "ESTHERVILLE",
"state": "IA",
"postal_code": "513341922",
"telephone_number": "712-209-3556",
"fax_number": "712-362-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N 8TH ST",
"city": "ESTHERVILLE",
"state": "IA",
"postal_code": "513341528",
"telephone_number": "712-362-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "CHRISTOPHER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "064084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IA",
"identifier": "16442",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA HEALTH PLANS",
"identifier": "3311",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11538329",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Estherville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.