Matthew J. Wood, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M-6494 Issued in ID

Practice address

1512 12TH Ave Rd
Nampa, ID 83686-6008

Phone

(208) 463-5029

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesiology Consultants of Idaho PA

  • Anesthesiology Physician
  • Nampa, ID
  • NPI 1093703340
  NPD (past)
• Gem-State Anesthesia Services, PLLC

  • Certified Registered Nurse Anesthetist
  • Caldwell, ID
  • NPI 1023163482

  Anesthesiology

  NPD (past)
• Redwood Anesthesia Services, a Medical Corporation

  • Anesthesiology Physician
  • Eureka, CA
  • NPI 1699955252
  NPD (past)
• Vivace Vein Centers LLC

  • Vascular Surgery Physician
  • Orem, UT
  • NPI 1932279403
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1053481531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866008",
            "telephone_number": "208-463-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866008",
            "telephone_number": "208-463-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "UT",
            "license": "328720-1205",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "M-6494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3992300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather R Wolcott, PHARMD
• William Chad Wolff, DDS
• Derek Matthew Wood, DPT
• Gregory Leon Wood, FNP
• Kimberly Rae Wood, LPC
• Deborah L Woodall, LCSW
• Kenneth Woodward
• Workit Health Mi PLLC
• Stephen Michael Wren, PA-C
• Barbara Elaine Wright, LMSW

• Anesthesiology Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Anesthesiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.