Individual provider Active NPI

Shayna Marie Wood, MD

  • Pediatrics Physician
  • Mountain Home, AR
National Provider Identifier
1144462383
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-6687 Issued in AR
Practice address
10 Medical PLZ
Mountain Home, AR 72653-2918
Phone
(870) 219-0428
Fax
(870) 424-3826
NPI assigned
Apr 2, 2009
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-6687 AR Primary
Neonatal-Perinatal Medicine Physician 2080N0001X E-6687 AR

Addresses

Primary practice location

10 Medical PLZ
Mountain Home, AR 72653-2918

Mailing address

9601 Interstate 630
Little Rock, AR 72205-7202
Phone (501) 225-8821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250226003280 WY Practitioner - Pediatric Medicine 1850689332 Reassigns benefits to 2 organizations
I20260608001920 AR Practitioner - Pediatric Medicine 1850689332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 E Washington Ave
Jonesboro, AR 72401-3111

6100 Waterford District Dr
Suite 450
Miami, FL 33126-2037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6687ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washakie Medical Center CurrentSince Jun 17, 2025 Accepting new patients
Washakie Medical Center CurrentSince Jun 17, 2025 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 18, 2025 Accepting new patients
Banner Health Physicians West LLC Past Accepting new patients
Memorial Hospital of Sweetwater County Past Accepting new patients
Memorial Hospital of Carbon County Past Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter County Regional Hospital, Inc Past Accepting new patients

Locations

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: shayna.wood@bhcawp.eclinicaldirectplus.com

Organizations & group practices 10

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1144462383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-225-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-219-0428",
            "fax_number": "870-424-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SHAYNA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-6687",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AR",
            "license": "E-6687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.