NPIMap

Individual provider Active NPI

David P Woolever, MD

  • Internal Medicine Physician
  • Dayton, WA
National Provider Identifier
1982609533
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00035399 Issued in WA
Practice address
1012 South Third Street
Dayton, WA 99328
Phone
(509) 337-6311
Fax
(509) 337-6011
NPI assigned
Jun 20, 2005
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00035399 WA Primary

Addresses

Primary practice location

1012 South Third Street
Dayton, WA 99328

Mailing address

1012 South Third Street
Dayton, WA 99328
Phone (509) 337-6311

Other identifiers 2

IdentifierTypeStateIssuer
2056763MedicaidWA
1036188MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwoolever825401@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000305 WA Practitioner - Internal Medicine 4688575624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1012 S 3Rd St
Dayton, WA 99328-1606
Phone (509) 382-2531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District Current Accepting new patients
Columbia County Hospital District CurrentSince Aug 2, 2021 Accepting new patients
Columbia County Hospital District CurrentSince Aug 2, 2021 Accepting new patients
Walla Walla General Hospital Past Accepting new patients
Anesthesiology Consultants of Walla Walla PC Past Accepting new patients
David P Woolever MD Internal Medicine Past Accepting new patients
Wwu Campus Health & Wellness Past Accepting new patients

Locations

295 S College Ave
#1
College Place, WA 99324
Phone (509) 382-2531

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

Interoperability endpoints

  • Direct secure messaging: dwoolever825401@wm.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1982609533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SOUTH THIRD STREET",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "99328",
            "telephone_number": "509-337-6311",
            "fax_number": "509-337-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SOUTH THIRD STREET",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "99328",
            "telephone_number": "509-337-6311",
            "fax_number": "509-337-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLEVER",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00035399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056763",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036188",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwoolever825401@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "380 Chase Ave",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, WA

Sources for this page

Verify at the official NPI Registry.