JONATHAN WOODY
NPI 1629600028
Physician Assistant in Kettering, OH

Q: What is Jonathan Woody's NPI number?

The NPI number for Jonathan Woody is 1629600028. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Q: What is Jonathan Woody's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Woody was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 04, 2020PECOS Enrolled

3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429(937) 643-9299 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2021, Feb 21, 2021, Jan 29, 2021 and 2 more (5 updates tracked since 2020).

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About Jonathan Woody NPPES

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

JONATHAN WOODY (NPI 1629600028) is an individual physician assistant in Kettering, Ohio, licensed in Ohio (50.006352RX) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1629600028

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN WOODY

Location Address3700 SOUTHERN BLVD STE 300Kettering, OH 45429-1265

Mailing Address1 Prestige Pl, Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068

Phone(937) 643-9299

Sole ProprietorNo

Enumeration DateFebruary 4, 2020

Last NPPES UpdateApril 5, 20215 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1629600028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.006352RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 50.006352RX (OH)

3700 SOUTHERN BLVD STE 300, Kettering, OH 45429

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Secondary Practice Location 1

Location 110500 Montgomery RdCincinnati, OH 45242-4402 · Phone (513) 865-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Woody is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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