Gerald R Woodard DO PA
NPI 1114111440ActiveOrganization· Family Medicine· Daytona Beach Shores, FL
Family Medicine in Daytona Beach Shores, Florida, registered in NPPES in August 2007. The authorized official on file is Gerald R. Woodard, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114111440 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2007 |
| Last updated in NPPES | Aug 29, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS4717 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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