Provider Demographics
NPI:1912062761
Name:WOODS, MORGAN E (PA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:E
Last Name:WOODS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5620 SAINT BARNABAS RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3628
Mailing Address - Country:US
Mailing Address - Phone:240-766-4552
Mailing Address - Fax:240-766-4502
Practice Address - Street 1:5620 SAINT BARNABAS RD
Practice Address - Street 2:SUITE 340
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3628
Practice Address - Country:US
Practice Address - Phone:240-766-4552
Practice Address - Fax:240-766-4502
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030361363AS0400X
MDC0003032363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q38875Medicare UPIN