Active NPI
David W. Wood, MD, Chartered
- Gastroenterology Physician
- Boise, ID
National Provider Identifier
1295935310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M-7913
- Legal business name
- DAVID W. WOOD, MD, CHARTERED
- Practice address
- 425 W Bannock St
Boise, ID 83702-6035 - Phone
- (208) 343-6458
- Fax
- (208) 343-5031
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David W Wood, M.D.
- Title
- Provider
- Phone
- (208) 343-1702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M-7913 | ID | Primary |
Addresses
Primary practice location
425 W Bannock St
Boise, ID 83702-6035
Mailing address
425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702
Other practice location 1
2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 887-3724
Other practice location 2
9850 St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 343-6458
Other practice location 3
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-1702
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Boise | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563753600000",
"number": "1295935310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-6458",
"fax_number": "208-343-5031"
}
],
"practiceLocations": [
{
"address_1": "2235 E Gala St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836428026",
"country_code": "US",
"telephone_number": "208-887-3724",
"fax_number": "208-887-1682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-343-6458",
"fax_number": "208-343-5031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Garrity Blvd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836873402",
"country_code": "US",
"telephone_number": "208-343-1702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVID W. WOOD, MD, CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2019-07-22",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "208-343-1702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M-7913",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Boise",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Boise",
"address_1": "425 W Bannock St",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837026035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.