=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285892901
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIE WOODS MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2008
-----------------------------------------------------
Last Update Date | 10/14/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 SEVERANCE CIR
-----------------------------------------------------
City | CLEVELAND HTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44118-1533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-524-7377
-----------------------------------------------------
Fax | 216-297-2562
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1001 LAKESIDE AVE E #1200
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44114-1158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 125052456
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 35-098706
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------