MR. DONALD ALFRED WOODRUFF
NPI 1104595917
Peer Specialist in Beachwood, OH

Q: What is Donald Woodruff's NPI number?

The NPI number for Donald Woodruff is 1104595917. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Q: What is Donald Woodruff's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Woodruff was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2021

25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122(216) 910-9015(216) 910-9015 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Donald Alfred Woodruff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD ALFRED WOODRUFF (NPI 1104595917) is an individual peer specialist in Beachwood, Ohio and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1104595917

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. DONALD ALFRED WOODRUFF

Location Address25201 CHAGRIN BLVD STE 390Beachwood, OH 44122-5637

Mailing Address18117 Flamingo AveCleveland, OH 44135-3805 · (216) 324-8104

Phone(216) 910-9015

Fax(216) 910-9015

Sole ProprietorYes

Enumeration DateSeptember 7, 2021

NPPES CertifiedSeptember 7, 2021

✔ NPI 1104595917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

25201 CHAGRIN BLVD STE 390, Beachwood, OH 44122

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY WILKINS

Peer Specialist