MEDICARE: CHAD WOODHOUSE

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	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist

General Provider Information

NPI Number	:	1235814575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD WOODHOUSE

Provider Business Mailing Address
First Line	:	1185 W MOUNTAIN VIEW RD APT 3403
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2545
Country	:	US
Telephone Number	:	813-838-7871
Fax Number	:

Provider Business Practice Location Address
First Line	:	1185 W MOUNTAIN VIEW RD APT 3403
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2545
Country	:	US
Telephone Number	:	813-838-7871
Fax Number	:

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

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/15/2023

Similar Medicare Providers

1386664753 — ALLAN S THOMAS DMD
Practice Location Address:

2545 PARLEYS WAY , STE D
SALT LAKE CITY, UT
84109-1254

Practice Phone: 801-322-4900
Practice Fax: 801-322-4903

1932215431 — LENNY RAMIREZ, DPM P.C.
Practice Location Address:

540 37TH ST
UNION CITY, NJ
07087-2545

Practice Phone: 201-864-6860
Practice Fax: 201-392-1596

1003925355 — JEFFREY DRUCK MD
Practice Location Address:

50 N MEDICAL DR
SALT LAKE CITY, UT
84132-2545

Practice Phone: 801-581-2121
Practice Fax:

1649503137 — USD 470
Practice Location Address:

2545 GREENWAY RD
ARKANSAS CITY, KS
67005-3890

Practice Phone: 620-441-2000
Practice Fax: 620-441-2009

1215254370 — KARILYN MATSON PHARMD
Practice Location Address:

2545 E 3210 S
SALT LAKE CITY, UT
84109-2700

Practice Phone: 801-860-4999
Practice Fax:

1891016465 — MR. DON CLAIRL SMITH
Practice Location Address:

2545 NW 11TH ST
OKLAHOMA CITY, OK
73107-5411

Practice Phone: 405-525-8700
Practice Fax:

Directions to “ CHAD WOODHOUSE ” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.