Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JESSE WILLARD WOODS III
Active
Organization
JESSE WILLARD WOODS III
Active
Other names
JWWIII Medical Brokerage Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIGER D. RAVEN-MELCHIZ EL (BUSINESS MANAGER)
(215) 435-4203
Entity
Organization
Contact information
Practice address
1410 N 31ST ST, PHILADELPHIA, PA 19121-3870
(215) 258-4815
Mailing address
1410 N 31ST ST, PHILADELPHIA, PA 19121-3870
(215) 258-4815
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
06/26/2019
Last updated
04/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers