Active NPI
Pamela R. Wood, M.S., CCC-A
- Audiologist
- Tucson, AZ
National Provider Identifier
1104854538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA536
- Practice address
- 1661 N Swan Rd
Suite 220
Tucson, AZ 85712-4042 - Phone
- (520) 325-8899
- Fax
- (520) 325-0699
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA536 | AZ | Primary |
Addresses
Primary practice location
1661 N Swan Rd
Suite 220
Tucson, AZ 85712-4042
Mailing address
1661 N Swan Rd
Suite 220
Tucson, AZ 85712-4042
Phone (520) 325-8899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0303040 | Other | AZ | BLUE CROSS/BLUE SHIELD |
| P00243100 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA536 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Hearing Care Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Locations
1661 N Swan Rd
Ste 220
Tucson, AZ 85712
Phone (520) 325-8899
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Tucson, AZ
- NPI 1538411210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1104854538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 N SWAN RD",
"address_2": "SUITE 220",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124042",
"telephone_number": "520-325-8899",
"fax_number": "520-325-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 N SWAN RD",
"address_2": "SUITE 220",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124042",
"telephone_number": "520-325-8899",
"fax_number": "520-325-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "PAMELA",
"middle_name": "R.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "AZ0303040",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00243100",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.