Individual provider Active NPI

James R Wood, MD

  • Emergency Medicine Physician
  • Killeen, TX
National Provider Identifier
1093754897
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G2059 Issued in TX
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

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102605604MedicaidTX
8F4360OtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103001032 TX Practitioner - General SurgeryPractitioner - Emergency Medicine 1658399050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G2059TXMDEmergency Medicine Physician
G2509TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC Emergency Medicine CurrentSince Jan 31, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.