| Adam Joseph Woodyard, DO | |
|
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
| (209) 334-3411 | |
| Not Available |
| Full Name | Adam Joseph Woodyard |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 975 S Fairmont Ave, Lodi, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063972198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20A24597 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hillcrest Hospital | Mayfield heights, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Ashtabula County Medical Center | Ashtabula, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Clinic Medical Services Company, Llc | 5698674653 | 229 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Joseph Woodyard, DO 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 Ph: (209) 707-3003 | Adam Joseph Woodyard, DO 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 334-3411 |
Maxine Louise Del Paine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Grant W Rogero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine St, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Laszlo B Fodor, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Frank M Hartwick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Daniel W. Terry Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Travers J Mcloughlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 S Ham Ln, Lodi, CA 95242 Phone: 209-365-1761 Fax: 209-333-3673 |