P Praxis·MD
● Active Type 1 · Individual

DR. Jhade Woodall, MD

Plastic Surgery·Idaho Falls, ID· NPI 1053606236 · Enumerated 2011 · 14 years on NPI
Woodall is 1 of 6 plastic surgery providers in Idaho Falls and 1 of 24 in Idaho.
NPI age
14 years
Enumerated 2011-06-15
Primary specialty
Plastic Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 24 active plastic surgery providers in Idaho.

NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-06Enumerated in NPPES
2011 2026

Where they practice

Practice location
3200 Channing Way Ste 206
Idaho Falls, ID 834047546
📞 2085292230fax 2084536142
Mailing address
Po Box 277381
Atlanta, GA 303842358

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3100 Channing Way
Idaho Falls, ID 834047533
📞 7068639595fax 7068688375

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    ID license #M-16557 taxonomy 208200000X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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