Active NPI
Sue M Wood, M.D. Inc., P.S.
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1053547547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00011229
- Legal business name
- SUE M WOOD, M.D. INC., P.S.
- Practice address
- 9714 3Rd Ave NE
Suite 103
Seattle, WA 98115-2044 - Phone
- (206) 362-4141
- Fax
- (206) 365-0926
- NPI assigned
- Jun 10, 2009
- Last updated
- Jun 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Sanderson
- Title
- Medical Billing Contractor
- Phone
- (206) 362-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00011229 | WA | Primary |
Addresses
Primary practice location
9714 3Rd Ave NE
Suite 103
Seattle, WA 98115-2044
Mailing address
9714 3Rd Ave NE
Suite 103
Seattle, WA 98115-2044
Phone (206) 362-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1951300 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
9714 3rd Ave NE
Ste 103
Seattle, WA 98115
Phone (206) 362-4141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244592000000",
"number": "1053547547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9714 3RD AVE NE",
"address_2": "SUITE 103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152044",
"telephone_number": "206-362-4141",
"fax_number": "206-365-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9714 3RD AVE NE",
"address_2": "SUITE 103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152044",
"telephone_number": "206-362-4141",
"fax_number": "206-365-0926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUE M WOOD, M.D. INC., P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A",
"authorized_official_last_name": "SANDERSON",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MEDICAL BILLING CONTRACTOR",
"authorized_official_telephone_number": "206-362-4141"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00011229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1951300",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.