TODD R WOODWARD PA-C
NPI 1609243187
Physician Assistant - Medical in Eagle, ID

Q: What is Todd Woodward's NPI number?

The NPI number for Todd Woodward is 1609243187. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Q: What is Todd Woodward's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Todd Woodward was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 31, 2015

868 E RIVERSIDE DR, STE 170, EAGLE, ID 83616(208) 995-2802 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Todd R Woodward Pa-c NPPES

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

TODD R WOODWARD PA-C (NPI 1609243187) is an individual medical provider in Eagle, Idaho, licensed in Idaho (PA-1277) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1609243187

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTODD R WOODWARDCredential: PA-C

Location Address868 E RIVERSIDE DR, STE 170Eagle, ID 83616-5412

Mailing Address868 E Riverside Dr, Ste 170Eagle, ID 83616-5412 · (208) 995-2802

Phone(208) 995-2802

Sole ProprietorNo

Enumeration DateAugust 31, 2015

✔ NPI 1609243187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-1277

868 E RIVERSIDE DR, Eagle, ID 83616

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

GREGORY L. FLINT M.D., P.C.

Clinic/Center

868 E RIVERSIDE DR, SUITE 200
EAGLE, ID 83616

Ada County (208) 367-2864

IDAHO CENTER FOR REGENERATIVE MEDICINE

Internal Medicine

868 E RIVERSIDE DR, SUITE 170
EAGLE, ID 83616

Ada County (208) 995-2802

DR. GREGORY LYNN FLINT M.D.

Dermatology

868 E RIVERSIDE DR, SUITE 200
EAGLE, ID 83616

Ada County (208) 367-2864

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 Todd Woodward's NPI number?

The NPI number for Todd Woodward is 1609243187. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Todd Woodward located?

Todd Woodward practices at 868 E Riverside Dr Ste 170, Eagle, ID 83616. The listed phone number is (208) 995-2802.

What is Todd Woodward's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Todd Woodward was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.