Gerald R Woodard DO PA
NPI 1497166417 · Non-Pharmacy Dispensing Site · Daytona Beach Shores, FL
Gerald R Woodard DO PA is a Non-Pharmacy Dispensing Site organization in Daytona Beach Shores, FL (NPI 1497166417).
Provider details
- NPI number
- 1497166417
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc,
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- OS4717 (FL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shores Medical Center Daytona
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2014-05-13
Frequently asked questions
- What is Gerald R Woodard DO PA's NPI number?
- Gerald R Woodard DO PA's National Provider Identifier (NPI) is 1497166417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gerald R Woodard DO PA?
- Gerald R Woodard DO PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Gerald R Woodard DO PA located?
- Gerald R Woodard DO PA's practice location on file with NPPES is 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639.
- What is Gerald R Woodard DO PA's phone number?
- The practice phone number listed in the NPPES registry for Gerald R Woodard DO PA is (386) 767-9544.
- Who is the authorized official for Gerald R Woodard DO PA?
- The authorized official listed on Gerald R Woodard DO PA's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gerald R Woodard DO PA's NPI active?
- Yes — Gerald R Woodard DO PA's NPI (1497166417) is active in the NPPES registry as of the last update on 2014-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.