Douglas Allen Wood, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34.008769 Issued in OH

Practice address

2600 Sixth St SW
Canton, OH 44710-1702

Phone

(330) 456-2695

Fax

(330) 363-5380

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knox Emergency Services LLCGroup PAC ID 0042113862, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Knox Emergency Services, LLC

  • Emergency Medicine Physician
  • Mount Vernon, OH
  • NPI 1861450066
  Medicare reassignment Care Compare group NPD
• Caep-Dunlap, LLC

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1669709911
  Medicare reassignment NPD
• Monroe Emergency Physicians

  • Emergency Medicine Physician
  • Monroe, MI
  • NPI 1639103393
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1023051505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-456-2695",
            "fax_number": "330-363-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-456-2695",
            "fax_number": "330-363-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.008769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4638595",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Wolke, LPN
• Phillip Eugene Wollam
• Christina Woloch, LPCC
• Wonderful Moving Miracle LLC
• Ashley Wood
• Erika M Wood, MA, LPC
• John David Wood
• John Robert Wood, MSN, ANP-BC
• Lisa M Wood
• Maureen M Wood, QMHS-MA CMS

• Emergency Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.

Verify at the official NPI Registry.