Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 14918 | NE |
N | 207XS0117X | Orthopaedic Spine Surgeon | 14918 | NE |
NPI | 1346243755 |
---|---|
Provider Name | Dr. Howard Randal Woodward |
First Address | Omaha, NE 68154-5335 |
Second Address | Omaha, NE 68154-5335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 30/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01623 | BCBS (01) | NE |
200031846 | RAILROAD MEDICARE (01) | NE |
2902981 | (05) | IA |
47081304012 | (05) | NE |
D92380 | (02) | NE |