DR. THEODORE WOODS M.D. MPH, NPI 1386875185 — NEW YORK (NY)

NPI 1386875185

10+ Years Experience Individual

DR. THEODORE WOODS M.D. MPH

07/29/2009
PROVIDER ENUMERATION DATE
10/30/2012
LAST UPDATE DATE
1386875185
NPI NUMBER

About DR. THEODORE WOODS

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DR. THEODORE WOODS is a provider established in NEW YORK, NY. The NPI number of DR. THEODORE WOODS is 1386875185 and was assigned on 07/29/2009. The practitioners primary taxonomy code is: 208D00000X with license number: 266543 NY .

Mailing address

  • City: FRISCO CITY
  • State: AL
  • Postal code: 36445
  • Phone: 7874145411
  • Address: 330 SCHOOL STREET
  • Address 2: APT. 29

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1386875185
  • Phone : 2125867830
  • Postalcode : 10019
  • Address : 250 W49TH ST SUITE 501

Provider taxonomy - General Practice

  • Taxonomy code: 208D00000X
  • License number: 266543
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Healthcare provider taxonomy #2 - Clinic/Center

  • Taxonomy code: 261QP0905X

The taxonomy is not the primary taxonomy.

Contacts:

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  • DR. THEODORE WOODS M.D. MPH
  • Address : 250 W49TH ST SUITE 501
  • Region : NEW YORK, NY
  • NPI : 1386875185
  • Phone : 2125867830
  • Postalcode : 10019

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address250 W49TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 501
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code10019
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2125867830
The telephone number associated with the location address of the provider being identified.
NPI1386875185
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1208D00000X
Provider Enumeration Date07/29/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/30/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. THEODORE WOODS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address330 SCHOOL STREET
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressAPT. 29
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameFRISCO CITY
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code36445
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7874145411
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1208D00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1General Practice
Provider License Number 1266543
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2261QP0905X
Healthcare Provider Taxonomy 2Clinic/Center
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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