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Deactivated NPI 1730153776 Deactivated / Inactive NPI Female Practitioner

Dr. Nancy Keim Woodruff , MD

General Practice • Idabel, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nancy Woodruff has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2006
NPI Deactivation Date May 28, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Woodruff, MD was a registered General Practice practicing in Idabel, OK. Throughout an active medical career spanning 14 years, Dr. Woodruff provided care at the practice location at 108 SE AVE N until profile deactivation on 2020-05-28.

Practice Location & Contact Primary Location

Practice Address

108 Se Ave N

Idabel, OK 74745

Telephone 5802864343
Fax 5802864333
Associated Practice Facility / Clinic
🏢 Nancy K. Woodruff, Md, Pc Facility NPI 1851514947

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Idabel, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Idabel, OK (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 18230

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 28, 2020

Record deactivated on May 28, 2020

NPI Profile Active June 30, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2010

Registered at 108 SE AVE N, IDABEL, OK 74745 (Tel: 5802864343)

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Updated Business Mailing Address June 30, 2010

Registered at 108 SE AVE N, IDABEL, OK 74745 (Tel: 5802864343)

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Provider Name / Credentials Updated June 30, 2010

Recorded as NANCY WOODRUFF, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2010

General Practice (License #18230 in OK)

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Initial NPI Registration & Enumeration February 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730153776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2006
Last Update: June 30, 2010
Deactivation Date: May 28, 2020

Mailing Address

108 Se Ave N

Idabel, OK 74745

Phone: 5802864343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.