Active NPI
Michael Austin Woods, M.D.
- Pediatrics Physician
- Danvers, MA
National Provider Identifier
1982700688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 58712
- Practice address
- 5 Federal St
Danvers, MA 01923-5504 - Phone
- (978) 774-0730
- Fax
- (978) 750-0246
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 58712 | MA | Primary |
Addresses
Primary practice location
5 Federal St
Danvers, MA 01923-5504
Mailing address
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
Phone (978) 927-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3029697 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58712 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1982700688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAHEY CLINIC",
"address_2": "41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "978-927-1919",
"fax_number": "978-927-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FEDERAL ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019235504",
"telephone_number": "978-774-0730",
"fax_number": "978-750-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "MICHAEL",
"middle_name": "AUSTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "58712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3029697",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.