WILLIAM RICHARD WOODRUFF — NPI 1053514554 (Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician in LOWER BRULE, SD)

CMS-1500 Box 24J / 33a • NPI

1053514554

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

247ZC0005X

Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician

Box 32 Service Location & ZIP+4

601 GALL STREET, LOWER BRULE, SD, 57548-0248

✓ 9-Digit EDI 837 ZIP+4 (57548-0248)

Practice Phone & Referral Fax

(605) 473-8246

Fax: (605) 473-0607

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053514554 (WILLIAM RICHARD WOODRUFF) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053514554` (NPI-1 Individual Practitioner)
Provider / Legal Name	WILLIAM RICHARD WOODRUFF
Plain-English Specialty	Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician NUCC Code: `247ZC0005X` (Pathology, Clinical Laboratory Director, Non-physician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	601 GALL STREET, LOWER BRULE, SD, 57548-0248
Practice Telephone / Fax	Tel: (605) 473-8246 \| Fax: (605) 473-0607
Administrative Mailing Address	PO BOX 248, LOWER BRULE, SD, 57548-0248
Enumeration & Last Sync	Enumerated: 2007-06-11 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

601 GALL STREET, LOWER BRULE, SD, 57548-0248

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Plain-English Taxonomy & CMS Crosswalk (247ZC0005X)

What Does Taxonomy Code 247ZC0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 247ZC0005X translates to:
"Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pathology, Clinical Laboratory Director, Non-physician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WILLIAM RICHARD WOODRUFF)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`247ZC0005X` — Pathology, Clinical Laboratory Director, Non-physician Plain English: Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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WILLIAM RICHARD WOODRUFF (NPI #1053514554)