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NPI Code Detail

MEDICARE: DR. WILLIAM BRENDAN WOODS DO

MEDICARE: DR. WILLIAM BRENDAN WOODS DO
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
1207X00000XOrthopaedic Surgery PhysicianOS013247PA
2207X00000XOrthopaedic Surgery Physician34008821OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22580176OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OS013247OTHERPAMED LIC NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164424651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM BRENDAN WOODS DO
Provider Business Mailing Address
First Line : 1932 NILES CORTLAND RD NE STE P
Second Line :
City : WARREN
State : OH
Zip : 44484-1055
Country : US
Telephone Number : 330-306-0395
Fax Number : 330-306-5391
Provider Business Practice Location Address
First Line : 1932 NILES CORTLAND RD NE STE P
Second Line :
City : WARREN
State : OH
Zip : 44484-1055
Country : US
Telephone Number : 330-306-0395
Fax Number : 330-306-5391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/07/2023

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Directions to “ DR. WILLIAM BRENDAN WOODS DO” Practice Location

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