Individual provider Active NPI

Michael Howard Wood, M.D.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1144284670
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25350 Issued in NV
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1144284670MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000734 MI Practitioner - General Surgery 8022929538 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-106258ILMDSurgery Physician
25350NVMDSurgery Physician
238116-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jan 1, 2011 Accepting new patients
Caring Nurses, Inc. CurrentSince Apr 30, 2003 Accepting new patients
Michael H. Wood, M.D., PLLC Surgery CurrentSince May 12, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.