Active NPI
Dwight W Wood MD PLC
- Ophthalmology Physician
- Ludington, MI
National Provider Identifier
1114055829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301071620
- Legal business name
- DWIGHT W WOOD MD PLC
- Practice address
- 7 N Atkinson Dr
Suite 115
Ludington, MI 49431-1953 - Phone
- (231) 845-7373
- Fax
- (231) 845-7374
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwight W Wood, MD
- Title
- Owner
- Phone
- (231) 845-7373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301071620 | MI | Primary |
Addresses
Primary practice location
7 N Atkinson Dr
Suite 115
Ludington, MI 49431-1953
Mailing address
7 N Atkinson Dr
Suite 115
Ludington, MI 49431-1953
Phone (231) 845-7373
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17971 | Other | MI | PRIORITY HEALTH |
| 3469260 | Medicaid | MI | |
| 1805300251 | Other | MI | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Dwight W Wood MD PLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Manistee, MI
- NPI 1871621771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1114055829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 N ATKINSON DR",
"address_2": "SUITE 115",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311953",
"telephone_number": "231-845-7373",
"fax_number": "231-845-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 N ATKINSON DR",
"address_2": "SUITE 115",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311953",
"telephone_number": "231-845-7373",
"fax_number": "231-845-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DWIGHT W WOOD MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "DWIGHT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-845-7373",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301071620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "17971",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3469260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1805300251",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.