MARCELLIOUS WOODSON NPI 1215708276

NPI Information

  • NPI: 1215708276
  • Provider Name: MARCELLIOUS WOODSON
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 3657 LUDGATE RD
    SHAKER HEIGHTS, OH
    ZIP 44120
  • Phone: (216) 622-5117

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NPI Details

Marcellious Woodson is a driver in Shaker Heights, OH. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Marcellious Woodson NPI is 1215708276. 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:

3657 LUDGATE RD
SHAKER HEIGHTS, OH
ZIP 44120-069
Phone: (216) 622-5117

The enumeration date for this NPI number is 1/9/2024 and was last updated on 1/9/2024.

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
1172A00000XDriverOHIOYes

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: 11/21/2025

NPI Synchronization or Removal

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