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1083616338

NPI Code Detail

MEDICARE: DR. DAVID A WOOG M.D.

MEDICARE: DR. DAVID A WOOG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	93-434	NM
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	157943	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	NM009C94	OTHER	NM	BLUE CROSS BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083616338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A WOOG M.D.

Provider Business Mailing Address
First Line	:	1631 HOSPITAL DR
Second Line	:	SUITE 110
City	:	SANTA FE
State	:	NM
Zip	:	87505-4728
Country	:	US
Telephone Number	:	505-982-7246
Fax Number	:	505-983-4812

Provider Business Practice Location Address
First Line	:	4200 BECKNER RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-3774
Country	:	US
Telephone Number	:	505-477-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/28/2025

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Directions to “ DR. DAVID A WOOG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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