John Woody, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME0056404 Issued in FL

Practice address

3340 Lakeland Hills Blvd
Lakeland, FL 33805-1974

Phone

(352) 867-8898

Fax

(352) 732-6282

NPI assigned

May 25, 2006

Last updated

Oct 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Florida College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John D. Woody, MD, PAGroup PAC ID 4789613076, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• John D. Woody, MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Lakeland, FL
  • NPI 1063465524
  Medicare reassignment Care Compare group NPD Authorized official
• Ambulatory Surgery Center Support Services

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1902857642
  NPD (past)
• Anesthesia Concepts,LLC

  • Pain Medicine (Anesthesiology) Physician
  • Lakeland, FL
  • NPI 1245280734
  NPD (past)
• Dental Implant Specialists of Florida, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeland, FL
  • NPI 1376238469
  NPD (past)
• Musser & Richards L L C

  • Oral and Maxillofacial Pathology Dentistry
  • Lakeland, FL
  • NPI 1255366894
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1972559847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863258",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863258",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338051974",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME0056404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044741200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08362",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayanne Woodruff, SLP
• Lucretia Woods
• Tyauna Woods, LCSW
• Susan Woodward, ARNP
• Casey Joan Woody, M.D.
• Alicia L. Wooldridge, M.D.
• Donna Louise Worley, PTA
• Hailey Woronec
• Heather Rae Wortham, D.O.
• Megan Christine Wrehsnig, PTA

• Pain Medicine (Anesthesiology) Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.

Verify at the official NPI Registry.