Provider Demographics
NPI:1356320626
Name:WOODS, GEORGE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MICHAEL
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 OCEANVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3752
Mailing Address - Country:US
Mailing Address - Phone:907-677-8152
Mailing Address - Fax:
Practice Address - Street 1:380 OCEANVIEW DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3752
Practice Address - Country:US
Practice Address - Phone:907-677-8152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3201207L00000X
CAG68414207L00000X
MA77095207L00000X
NY189729207L00000X
TXJ3659207L00000X
MT7125207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD20002Medicaid
AKMD20002Medicaid
F23339Medicare UPIN
AKK160092Medicare ID - Type Unspecified
CABN893XMedicare PIN
CABN893YMedicare PIN