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NPI Code Detail

MEDICARE: REBEKAH J WOODS D.O.

MEDICARE: REBEKAH J WOODS D.O.
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
12084N0400XNeurology Physician02621KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00719575OTHERKYRAILROAD MEDICARE
1150012296OTHERPASSPORT 2ND TO MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000389675OTHERANTHEM SR ADVANTAGE
250065666OTHERKYPASSPORT-NNS
4000000858393OTHERKYANTHEM-NNS
550012296OTHERPASSPORT
6688594OTHERKYHEALTHLINK
7157097OTHERKYSIHO-NNS
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9000000617818OTHERKYANTHEM
102772075000OTHERPASSPORT ADVANTAGE

General Provider Information

NPI Number : 1144228164
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH J WOODS D.O.
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 4915 NORTON HEALTHCARE BLVD STE 301
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2866
Country : US
Telephone Number : 502-394-6460
Fax Number : 502-394-6465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 05/01/2025

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