Richard E Wood, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME36954 Issued in FL

Legal business name

RICHARD E WOOD, M.D.

Practice address

2575 County Road 220
Suite 103
Middleburg, FL 32068-6550

Phone

(904) 213-1776

Fax

(904) 298-3698

NPI assigned

Feb 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard E Wood, M.D.

Title

Primary Doctor

Phone

(904) 213-1776

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225003114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 COUNTY ROAD 220",
            "address_2": "SUITE 103",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686550",
            "telephone_number": "904-213-1776",
            "fax_number": "904-298-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 COUNTY ROAD 220",
            "address_2": "SUITE 103",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686550",
            "telephone_number": "904-213-1776",
            "fax_number": "904-298-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E WOOD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRIMARY DOCTOR",
        "authorized_official_telephone_number": "904-213-1776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME36954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARENDON HEALTHY KIDS",
            "identifier": "7047637",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15575",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Reeves
• Nicole Marie Reeves, PTA
• Anthony Repollet, RBT
• Restorative Healthcare Solutions of North Florida
• Jessica B Reyes
• Ashley Richardson
• Shawn Riley
• Pedro D Rivera Morillo, M.D.
• Alicia M Rivera, ARNP
• Crystal Riviere, LCSW

• Family Medicine Physician in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.