Individual
DR. THOMAS M WOODCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
20737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044802
ANTHEM PROVIDER NUMB
KY
01
—
000020583A
HUMANA PROVIDER NUMB
KY
01
—
1050395
PASSPORT PROVIDER NUMB
KY
01
—
110089689
RAILROAD MEDICARE
KY
05
—
200042670
—
IN
01
—
4012991
ANTHEM PROVIDER NUMB
KY
01
—
458311
CIGNA PROVIDER NUMB
KY
05
—
64207376
—
KY
Enumeration date
05/01/2006
Last updated
05/30/2019
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