Organization Active NPI

Sue M Wood, M.D. Inc., P.S.

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1053547547
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00011229 Issued in WA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1951300MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.