Active NPI
James R Wood, MD
- Emergency Medicine Physician
- Killeen, TX
National Provider Identifier
1093754897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G2059
- Practice address
- 2300 S Clear Creek Rd
Suite 101
Killeen, TX 76549-4984 - Phone
- (855) 963-4325
- Fax
- (855) 963-4325
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G2059 | TX | Primary |
Addresses
Primary practice location
2300 S Clear Creek Rd
Suite 101
Killeen, TX 76549-4984
Mailing address
2300 S Clear Creek Rd
Suite 101
Killeen, TX 76549-4984
Phone (855) 963-4325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102605604 | Medicaid | TX | |
| 8F4360 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2059 | TX | MD | Emergency Medicine Physician |
| G2509 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| Limestone Emergency PA | Emergency Medicine | Past | Accepting new patients |
Locations
1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325
2300 Clear Creek Rd
Ste 101
Killeen, TX 76549
Phone (254) 526-2985
2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021
Interoperability endpoints
- jwood@hstidp-tx.direct.office.nextgen.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Allen, TX
- NPI 1285051094
Emergency Medicine
-
- Emergency Medicine Physician
- Mexia, TX
- NPI 1588772420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1093754897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 S CLEAR CREEK RD",
"address_2": "SUITE 101",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494984",
"telephone_number": "855-963-4325",
"fax_number": "855-963-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S CLEAR CREEK RD",
"address_2": "SUITE 101",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494984",
"telephone_number": "855-963-4325",
"fax_number": "855-963-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "G2059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102605604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F4360",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.