Provider Demographics
NPI:1114931540
Name:WOODS, JAMILE SARAH (MD)
Entity Type:Individual
Prefix:
First Name:JAMILE
Middle Name:SARAH
Last Name:WOODS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LDS HOSPITAL
Mailing Address - Street 2:324, 8TH AVENUE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84143-0001
Mailing Address - Country:US
Mailing Address - Phone:801-408-5060
Mailing Address - Fax:
Practice Address - Street 1:LDS HOSPITAL
Practice Address - Street 2:324, 8TH AVENUE
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84143-0001
Practice Address - Country:US
Practice Address - Phone:801-408-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3383341205207RP1001X, 208M00000X
UT338334-1205208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTI44319Medicare UPIN
UT057066015Medicare PIN
UT005760508Medicare PIN