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WOODLAWN MEDICAL PROFESSIONALS
NPI 1215096763
Family Medicine in Rochester, IN

Active since December 08, 2006CLIA 15D0857717 · Microscopy
1400 E 9TH ST, ROCHESTER, IN 46975(574) 223-2020(574) 223-5847 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodlawn Medical Professionals NPPES

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

WOODLAWN MEDICAL PROFESSIONALS (NPI 1215096763) is a healthcare organization registered as a family medicine in Rochester, Indiana and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists John Alley, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1215096763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWOODLAWN HOSPITAL
Location Address1400 E 9TH STRochester, IN 46975-8931
Mailing Address710 St Rd 25 NRochester, IN 46975 · (574) 223-2020 · Fax (574) 223-5847
Phone(574) 223-2020
Fax(574) 223-5847
Organization SubpartNo
Authorized OfficialJohn AlleyCeo President · (574) 223-3141
Enumeration DateDecember 8, 2006
Last NPPES UpdateJanuary 11, 2010
✔ NPI 1215096763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01046904A✔ Licensed in IN · 01044502A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 E 9TH ST, Rochester, IN 46975
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Other Names 1

Doing Business AsWoodlawn Medical Professionals

Other Identifiers 7

Medicare UPING28641
Medicaid200185450AIN
Medicare ID-Type Unspecified270990FJoan Joyce Md
Medicare ID-Type Unspecified270990GDavid Folk Md
Medicaid200103750AIN
Other270990IN · Medicare Id - Type Unspecified
Medicare UPING77178

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0857717

Woodlawn Medical Professionals · Rochester, IN
Active · expires Aug 31, 2026
CLIA Number15D0857717
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. David K. Reyburn
Laboratory Phone(574) 223-2020
Laboratory LocationWoodlawn Medical Professionals1400 E 9th St, Rochester, IN 46975
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MR. JERROD A FELDMAN MD
Pediatrics
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
OMAZONNA AMADI MD
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
JENNIFER LAURO
Occupational Therapist
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 224-1160
MR. RICARDO MONTALBO YOUNG MD
Surgery
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 224-1048
JENNIFER MARIE SULT MD
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
MR. DAVID M FOLK MD
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
MRS. KYLE LINN SOMMERS FNP-C
Nurse Practitioner (Family)
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-3341
WOODLAWN HOSPITAL
Surgery
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodlawn Hospital's NPI number?

The NPI number for Woodlawn Hospital is 1215096763. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Woodlawn Medical Professionals.

Where is Woodlawn Hospital located?

Woodlawn Hospital is located at 1400 E 9th St, Rochester, IN 46975. The listed phone number is (574) 223-2020.

What is Woodlawn Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Woodlawn Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0857717) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodlawn Hospital was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.