WALTER W. WOODY MD NPI 1649203688

NPI Information

NPI: 1649203688
Provider Name: WALTER W. WOODY, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
100 BAPTIST MEMORIAL CIR STE 201
OXFORD, MS
ZIP 38655
Phone: (901) 271-1000
Get Directions

Walter W. Woody, MD is an interventional cardiology internal medicine in Oxford, MS. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Walter W. Woody, MD NPI is 1649203688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 BAPTIST MEMORIAL CIR STE 201
OXFORD, MS
ZIP 38655-476
Phone: (901) 271-1000
Fax: (901) 271-4187

The NPI 1649203688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	11097	MISSISSIPPI	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	11097	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C74367	MEDICARE UPIN	MISSISSIPPI
2	060000804	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
3	00114996	MEDICAID	MISSISSIPPI
4	512I060004	MEDICARE PIN	MISSISSIPPI
5	302I060073	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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