Active NPI
Michael Howard Wood, M.D.
- Surgery Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25350
- Practice address
- 2968 E Russell Rd Ste B
Las Vegas, NV 89120-2453 - Phone
- (702) 791-3729
- Fax
- (702) 791-3859
- NPI assigned
- Apr 13, 2006
- Last updated
- May 7, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-106258 | IL | |
| Surgery Physician | 208600000X | 238116-1 | NY | |
| Surgery Physician | 208600000X | 4301033364 | MI | |
| Surgery Physician | 208600000X | 25350 | NV | Primary |
Addresses
Primary practice location
2968 E Russell Rd Ste B
Las Vegas, NV 89120-2453
Mailing address
3980 Placita del Rico
Las Vegas, NV 89120-2629
Phone (313) 268-0208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144284670 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|
| 036-106258 | IL | MD | Surgery Physician |
| 25350 | NV | MD | Surgery Physician |
| 238116-1 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Caring Nurses, Inc. | Current | Accepting new patients | |
| Michael H. Wood, M.D., PLLC | Surgery | Current | Accepting new patients |
| WL Physicians | Surgery | Current | Accepting new patients |
| Mso Physicians | Surgery | Past | Accepting new patients |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients |
Locations
2333 Waukegan Rd
Ste 175
Bannockburn, IL 60015
Phone (847) 267-0441
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4160 John R St
Ste 805
Detroit, MI 48201
Phone (313) 341-1431
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
1385 E 12 Mile Rd
Ste 200
Madison Hts, MI 48071
Phone (248) 284-1760
2449 E 12 Mile Rd
Warren, MI 48092
Phone (586) 510-4992
2968 E Russell Rd
Las Vegas, NV 89120
Phone (702) 791-3729
2968 E Russell Rd
Ste B
Las Vegas, NV 89120
Phone (313) 338-3986
Interoperability endpoints
- mwood2@direct.dmc.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Surgery Physician
- Las Vegas, NV
- NPI 1811745714
-
- Home Health Agency
- Las Vegas, NV
- NPI 1235247792
-
- Surgery Physician
- Warren, MI
- NPI 1861503237
-
dba DMC Billing Associates, LLC
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1457387607
-
- Surgery Physician
- Warren, MI
- NPI 1124139639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1144284670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 PLACITA DEL RICO",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202629",
"telephone_number": "313-268-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2968 E RUSSELL RD STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202453",
"telephone_number": "702-791-3729",
"fax_number": "702-791-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MICHAEL",
"middle_name": "HOWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-106258",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "238116-1",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301033364",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "25350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144284670",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.