Active NPI
Eric R Wood, PA-C
- Physician Assistant
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1045
- Practice address
- 1500 James Simpson Jr Way
Covington, KY 41011-0801 - Phone
- (859) 655-1100
- Fax
- (859) 655-1102
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1045 | KY | |
| Surgical Physician Assistant | 363AS0400X | PA1045 | KY | |
| Physician Assistant | 363A00000X | PA1045 | KY | Primary |
Addresses
Primary practice location
1500 James Simpson Jr Way
Covington, KY 41011-0801
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other practice location 1
580 S Loop Rd
Suite 201
Edgewood, KY 41017-3415
Phone (859) 344-1600
Other practice location 2
20 Medical Village Dr Ste 254
Edgewood, KY 41017
Phone (859) 344-1600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9500517900 | Medicaid | KY | |
| 7100056850 | Medicaid | KY | |
| P00424232 | Other | RAILROAD MEDICARE | |
| WOPA24344 | Other | OH | OH MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-8910
238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 212-4467
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 301-5901
Hospital & facility affiliations
- St Elizabeth Home Care
- St Elizabeth Edgewood
- St Elizabeth Grant
- St Elizabeth Ft Thomas
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC018 | KY | MD | Physician Assistant |
| PA1045 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients | |
| Cranley Surgical Associates Inc | Past | Accepting new patients |
Locations
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
580 S Loop Rd
#201
Edgewood, KY 41017
20 Medical Village Dr
Ste 254
Edgewood, KY 41017
Phone (859) 301-5663
580 S Loop Rd
Ste 201
Edgewood, KY 41017
Phone (859) 344-1600
20 Medical Village Dr
Ste 394
Edgewood, KY 41017
Phone (859) 331-3353
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2300 Chamber Center Dr
Ste 200
Lakeside Park, KY 41017
Phone (859) 212-0039
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
Interoperability endpoints
- ewood26140@direct-prd.stelizabeth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- Surgery Physician
- Cincinnati, OH
- NPI 1376518845
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
- Home Health Agency
- Florence, KY
- NPI 1316136534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1013940956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 JAMES SIMPSON JR WAY",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410110801",
"telephone_number": "859-655-1100",
"fax_number": "859-655-1102"
}
],
"practiceLocations": [
{
"address_1": "580 S Loop Rd",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410173415",
"country_code": "US",
"telephone_number": "859-344-1600",
"fax_number": "859-344-0091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Medical Village Dr Ste 254",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "41017",
"country_code": "US",
"telephone_number": "859-344-1600",
"fax_number": "859-344-0091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA1045",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA1045",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9500517900",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100056850",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00424232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICARE",
"identifier": "WOPA24344",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.