Individual provider Active NPI

Madeline Wood, PA-C

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1164856266
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
114 Woodland St
Hem/Onc
Hartford, CT 06105-1208
Phone
(860) 714-5554
Fax
(860) 714-8047
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CT Primary

Addresses

Primary practice location

114 Woodland St
Hem/Onc
Hartford, CT 06105-1208

Mailing address

114 Woodland St
Hem/Onc
Hartford, CT 06105-1208
Phone (860) 714-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131029002170 CT Practitioner - Physician Assistant 2466687496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

142 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 272-2911

148 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 714-2647

31 Sycamore St
Glastonbury, CT 06033-4540
Phone (860) 409-1507

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2991CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 21, 2013 Accepting new patients

Locations

142 Hazard Ave
Enfield, CT 06082
Phone (860) 272-2911

140 Hazard Ave
Ste 102
Enfield, CT 06082
Phone (860) 272-2970

31 Sycamore St
Ste 202
Glastonbury, CT 06033
Phone (860) 242-3000

94 Woodland St
Hartford, CT 06105
Phone (860) 714-4568

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

Interoperability endpoints

  • Direct secure messaging: mwood150430@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1164856266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "HEM/ONC",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-5554",
            "fax_number": "860-714-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "HEM/ONC",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-5554",
            "fax_number": "860-714-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MADELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.