Mary Joan Wood, MHS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115037 Issued in MO

Practice address

501 West Shore Drive
Cairo, MO 65239

Phone

(660) 295-4278

NPI assigned

Jun 13, 2007

Last updated

Jul 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mary Joan Wood Speech Pathology

  dba Mary Joan Wood

  • Speech-Language Pathologist
  • Cairo, MO
  • NPI 1992547376
  NPD Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1194929067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "CAIRO",
            "state": "MO",
            "postal_code": "652390115",
            "telephone_number": "660-295-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEST SHORE DRIVE",
            "city": "CAIRO",
            "state": "MO",
            "postal_code": "65239",
            "telephone_number": "660-295-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARY",
        "middle_name": "JOAN",
        "credential": "MHS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "115037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855258703",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464741008",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464741024",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464741016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene King
• Rylee Kribbs
• Mary Joan Wood Speech Pathology (Mary Joan Wood)
• Northeast Randolph Co. R-IV
• Preferred Family Healthcare, Inc. (Clarity Healthcare)

• Speech-Language Pathologist in Cairo, MO
• Providers in Cairo, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.