Provider Demographics
NPI:1558352500
Name:WOODS, ROBERT M (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:WOODS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CIRCLE ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2509
Mailing Address - Country:US
Mailing Address - Phone:814-437-2191
Mailing Address - Fax:814-437-2264
Practice Address - Street 1:44 CIRCLE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2509
Practice Address - Country:US
Practice Address - Phone:814-437-2191
Practice Address - Fax:814-437-2264
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009904L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1861864Medicaid
PAH23400Medicare UPIN
PA050543Medicare ID - Type Unspecified