Timothy Clifton Wood, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35074869W Issued in OH

Practice address

480 Glessner Ave
Mansfield, OH 44903-2056

Phone

(419) 526-2600

Fax

(419) 526-2032

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1205814712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-526-2600",
            "fax_number": "419-526-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-526-2600",
            "fax_number": "419-526-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TIMOTHY",
        "middle_name": "CLIFTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35074869W",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "42777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Wolfe
• James R Wolfe, MD
• Shyanne Nicole Wolfe
• Gina Kay Wolff, M.A CCC-SLP
• Melissa R Wonorski
• Jennifer Woodford, PA
• Sara Ann Woodruff
• Eric Woods, PA-S
• Rico Woods
• Woodside Medical Group, Inc.

• Dermatology Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.