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DEBORAH WOODBURY MD NPI 1912946260


NPI Information

NPI: 1912946260
Provider Name: DEBORAH WOODBURY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
612 FAYETTE ST
2ND FLOOR
CONSHOHOCKEN, PA
ZIP 19428
Phone: (610) 828-8500
Get Directions

Deborah Woodbury, MD is a family medicine in Conshohocken, PA with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Deborah Woodbury, MD NPI is 1912946260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1993

The provider's business location address is:

612 FAYETTE ST
2ND FLOOR
CONSHOHOCKEN, PA
ZIP 19428-797
Phone: (610) 828-8500
Fax: (610) 828-9736

The NPI 1912946260 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 6/5/2006 and was last updated on 7/9/2007.


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
1207Q00000XFamily MedicineMD056674LPENNSYLVANIAYes

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 Other Provider Identifier Issuer
15852947OTHERPENNSYLVANIACIGNA HMO/PPO
210939019OTHERPENNSYLVANIACAQH ID#
30015954810004MEDICAIDPENNSYLVANIA
40128798000OTHERPENNSYLVANIAIBC - PC/KHPE
5891990OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
6P1293177OTHERPENNSYLVANIAOXFORD
70585148OTHERPENNSYLVANIAAETNA HMO
81076963OTHERPENNSYLVANIAKEYSTONE MERCY
917213-MD056674LOTHERPENNSYLVANIAHEALTH PARTNERS
10967674OTHERPENNSYLVANIAPHCS
110159548101OTHERPENNSYLVANIAAMERICHOICE (UHC MA PLAN)
12G35585MEDICARE UPINPENNSYLVANIA
13891990KW0MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAHGSA
140128798000OTHERPENNSYLVANIAAMERIHEALTH/INTERCOUNTY
15223718OTHERPENNSYLVANIAALLIANCE/OPT CHC (MAMSI)
165506461OTHERPENNSYLVANIAAETNA PPO

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.