WOODMAN PRIMARY CARE LLC
NPI 1245738541
Preventive Medicine - Medical Toxicology in Dayton, OH
- Organization
- Preventive Medicine
- Medical Toxicology
- CLIA Number: 36D2087191
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-12-2026
About WOODMAN PRIMARY CARE LLC
This page provides the complete NPI Profile along with additional information for Woodman Primary Care Llc, a provider established in Dayton, Ohio operating as a Preventive Medicine, focusing in medical toxicology . The healthcare provider is registered in the NPI registry with number 1245738541 assigned on February 2018. The practitioner's primary taxonomy code is 2083T0002X with license number 36D2087191 (OH). The provider is registered as an organization and their NPI record was last updated 8 years ago. Woodman Primary Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeffrey F Kolaczkowski Msw (Director)
- NPI
- 1245738541 Verify this NPI
- Provider Name
- WOODMAN PRIMARY CARE LLC
- Entity Type
- Organization
- Location Address
- 1320 WOODMAN DR DAYTON, OH 45432
- Location Phone
- (937) 223-1781
- Location Fax
- (937) 424-8656
- Mailing Address
- 1320 WOODMAN DR DAYTON, OH 45432
- Mailing Phone
- (937) 223-1781
- Mailing Fax
- (937) 424-8656
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2018
- Last Update Date
- 02-01-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Medical Toxicology
- Taxonomy Code
- 2083T0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36D2087191
- License State
- OH
- Taxonomy Description
- Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2087191
- Facility Type
- Physician Office
- Certificate Effective Date
- April 13, 2024
- Certificate Expiration Date
- April 12, 2026
- Laboratory Director
- YILAN CHANG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Woodman Primary Care Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
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DAYTON, OH 45432
DAYTON, OH 45432
DAYTON, OH 45432
DAYTON, OH 45432
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245738541, enumerated as an "organization" on February 01, 2018.
The provider is located at 1320 WOODMAN DR DAYTON, OH 45432 and the phone number is (937) 223-1781.
Preventive Medicine with taxonomy code 2083T0002X and a focus in Medical Toxicology.
