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THADDEUS WOODARD MD
NPI 1619618352
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 05, 2022
200 W ARBOR DR # MC8894, SAN DIEGO, CA 92103(858) 657-8200 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thaddeus Woodard Md NPPES

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

THADDEUS WOODARD MD (NPI 1619618352) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1619618352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHADDEUS WOODARDCredential: MD
Location Address200 W ARBOR DR # MC8894San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8894San Diego, CA 92103-1911 · (858) 657-8200 · Fax (858) 657-8269
Phone(858) 657-8200
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1619618352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR # MC8894, San Diego, CA 92103
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Other Providers at the Same Location NPPES 4

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

UCSD DEPARTMENT OF ORTHOPAEDIC SURGERY
General Acute Care Hospital
200 W ARBOR DR # MC8894, DEPARTMENT OF ORTHOPAEDICS
SAN DIEGO, CA 92103
San Diego County (619) 543-7247
ANGEL ORDAZ
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8894
SAN DIEGO, CA 92103
San Diego County (619) 543-7247
DR. ANDREW M ZOGBY MD
Orthopaedic Surgery (Sports Medicine)
200 W ARBOR DR # MC8894
SAN DIEGO, CA 92103
San Diego County (619) 543-6312
KARCH SMITH MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8894
SAN DIEGO, CA 92103
San Diego County (619) 543-2539

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 Thaddeus Woodard's NPI number?

The NPI number for Thaddeus Woodard is 1619618352. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Thaddeus Woodard located?

Thaddeus Woodard practices at 200 W Arbor Dr # Mc8894, San Diego, CA 92103. The listed phone number is (858) 657-8200.

What is Thaddeus Woodard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Thaddeus Woodard was last updated on April 5, 2022. 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.