Dr. Samuel Isaac Woodard, D.O.
Family Medicine in Ellensburg, WA. Individual provider (NPI-1).
NPI number1114248259
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1114248259
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel Isaac Woodard
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2010
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OP60668274 | WA | Yes |
Practice location
603 S Chestnut StEllensburg, WA 98926-3875
Phone 509-925-7604
Mailing address
820 N Chelan AveWenatchee, WA 98801-2028
Phone 509-663-8711
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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