Active NPI
James Rese Wood, MD
- Gastroenterology Physician
- Grand Forks, ND
National Provider Identifier
1073573044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 26328
- Practice address
- 1000 South Columbia Road
Grand Forks, ND 58206-6002 - Phone
- (701) 780-5000
- Fax
- (612) 870-5857
- NPI assigned
- Mar 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 26328 | MN | Primary |
Addresses
Primary practice location
1000 South Columbia Road
Grand Forks, ND 58206-6002
Mailing address
PO Box 6002
Grand Forks, ND 58206-6002
Phone (701) 780-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082885800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Endoscopy ASC Inc | Past | Accepting new patients | |
| Campbell Clinic, PC | Past | Accepting new patients | |
| Mngi Digestive Health, P.a. | Gastroenterology | Past | Accepting new patients |
| CC Bpci PLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Ambulatory Surgical Clinic/Center
- Minneapolis, MN
- NPI 1669496345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1073573044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582066002",
"telephone_number": "701-780-5000",
"fax_number": "612-870-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SOUTH COLUMBIA ROAD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582066002",
"telephone_number": "701-780-5000",
"fax_number": "612-870-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JAMES",
"middle_name": "RESE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "26328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082885800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.