Active NPI
Earl Clinton Wood III, MD
- Family Medicine Physician
- Seneca, SC
National Provider Identifier
1295801355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34204
- Practice address
- 106 Ram Cat Aly
Seneca
Seneca, SC 29678-3244 - Phone
- (864) 888-4445
- Fax
- (864) 888-4345
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34204 | SC | Primary |
Addresses
Primary practice location
106 Ram Cat Aly
Seneca
Seneca, SC 29678-3244
Mailing address
366 Market St
Seneca, SC 29678-0926
Phone (864) 364-6380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342043 | Medicaid | SC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1295801355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 MARKET ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296780926",
"telephone_number": "864-364-6380",
"fax_number": "833-853-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 RAM CAT ALY",
"address_2": "SENECA",
"city": "SENECA",
"state": "SC",
"postal_code": "296783244",
"telephone_number": "864-888-4445",
"fax_number": "864-888-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "EARL",
"middle_name": "CLINTON",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "34204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342043",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.