Individual provider Active NPI

Linda Stephens Woodson, M.D.

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1972682664
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7012 Issued in NV
Practice address
2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100
Phone
(702) 202-2700
Fax
(702) 307-5480
NPI assigned
Nov 3, 2006
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7012 NV Primary
Dermatology Physician 207N00000X G072603 CA

Addresses

Primary practice location

2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100

Mailing address

2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100
Phone (702) 202-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20050531000479 NV Practitioner - Dermatology 3375585805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda Woodson Dermatology a Professional CorporationGroup PAC ID 8224282751, 7 clinicians

Practice addresses (Care Compare)

2410 Fire Mesa St
Suite 180
Las Vegas, NV 89128-9017
Phone (702) 202-2700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision66
Removal of tissue1-10
Removal of skin lesions3797
Removal of skin cancer227
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G072603CAMDDermatology Physician
7012NVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Woodson Dermatology, a Professional Corporation Dermatology CurrentSince Jan 1, 2013 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Woodson Dermatology Dermatology PastSince Jul 1, 1991 Accepting new patients

Locations

305 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 202-2700

305 N Pecos Rd
Ste F
Henderson, NV 89074
Phone (702) 463-1665

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

2800 N Tenaya Way
Ste 203
Las Vegas, NV 89128
Phone (702) 367-6370

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1972682664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281100",
            "telephone_number": "702-202-2700",
            "fax_number": "702-307-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281100",
            "telephone_number": "702-202-2700",
            "fax_number": "702-307-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "LINDA",
        "middle_name": "STEPHENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "7012",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G072603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.