Individual provider Active NPI

Neil Lipscomb Wood Jr., MD

  • Rheumatology Physician
  • Auburn, CA
National Provider Identifier
1265542757
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
C36813 Issued in CA
Practice address
11985 Heritage Oak PL
#220
Auburn, CA 95603-2461
Phone
(530) 888-6322
Fax
(530) 888-6338
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X C36813 CA Primary

Addresses

Primary practice location

11985 Heritage Oak PL
#220
Auburn, CA 95603-2461

Mailing address

11985 Heritage Oak PL
#220
Auburn, CA 95603-2461
Phone (530) 888-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C36813CAMDRheumatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1265542757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11985 HERITAGE OAK PL",
            "address_2": "#220",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032461",
            "telephone_number": "530-888-6322",
            "fax_number": "530-888-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11985 HERITAGE OAK PL",
            "address_2": "#220",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032461",
            "telephone_number": "530-888-6322",
            "fax_number": "530-888-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "NEIL",
        "middle_name": "LIPSCOMB",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C36813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.