Tara Michelle Wood

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

126939 Issued in AK

Practice address

4100 Lake Otis Pkwy Ste 216
Anchorage, AK 99508

Phone

(907) 563-2873

Fax

(907) 562-5852

NPI assigned

Sep 15, 2016

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

MGM Enterprises LLCGroup PAC ID 6608391586, 2 clinicians

Anchor Eruption Enterprises LLCGroup PAC ID 2961736954, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10583/brand/2/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14826/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DAIIBD/Endpoint/DAIIBD
• Direct secure messaging: tara.wood.1@10583.direct.athenahealth.com

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.

• MGM Enterprises LLC

  dba Denali Wound Care Solutions

  • Pain Medicine (Anesthesiology) Physician
  • Anchorage, AK
  • NPI 1033910195

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Anchor Eruption Enterprises LLC

  dba Algone Anchorage Interventional Pain

  • Pain Medicine (Anesthesiology) Physician
  • Anchorage, AK
  • NPI 1700343514
  Medicare reassignment Care Compare group
• Alaska Center for Pain Relief Inc

  • Interventional Pain Medicine Physician
  • Anchorage, AK
  • NPI 1275922346
  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Arete Family Care LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1801460415
  Medicare reassignment
• Aa Pain Clinic, Inc.

  • Pain Medicine Physician
  • Anchorage, AK
  • NPI 1972596633
  NPD (past)

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

• Galen Hospital Alaska, Inc.

  dba Alaska Regional Hospital

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047
  Care Compare affiliation
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1265980528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 216",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-563-2873",
            "fax_number": "907-562-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 216",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-563-2873",
            "fax_number": "907-562-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8130 Old Seward Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995183349",
            "country_code": "US",
            "telephone_number": "907-522-7466",
            "fax_number": "907-782-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "126939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Wood
• Sarah Wood, RN
• Seth L Wood
• Shawn A. Wood, LCSW
• Taliah Wood
• Whitney W Wood, MD
• Carlene Woodard
• Thad L Woodard, MD
• Ebony Lestrice Woodley
• Lydia Grace Woodley

• Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.