Individual provider Active NPI

Paul David Wood, PA-C

  • Medical Physician Assistant
  • Ellensburg, WA
National Provider Identifier
1306857149
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.PA.60127871 Issued in WA
Practice address
702 E Mountain View Ave Ste 1
Ellensburg, WA 98926-3862
Phone
(509) 968-5273
NPI assigned
Aug 10, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.PA.60127871 WA Primary

Addresses

Primary practice location

702 E Mountain View Ave Ste 1
Ellensburg, WA 98926-3862

Mailing address

702 E Mountain View Ave Ste 1
Ellensburg, WA 98926-3862
Phone (509) 856-5319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20100311000194 WA Practitioner - Physician Assistant 5991726127 Reassigns benefits to 1 organization
I20160920002873 TX Practitioner - Physician Assistant 5991726127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittitas Valley Urgent Care PLLCGroup PAC ID 5092093542, 24 clinicians

Practice addresses (Care Compare)

702 E Mountain View Ave
Ellensburg, WA 98926-3862
Phone (509) 968-5273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1476OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas Valley Urgent Care PLLC CurrentSince Nov 1, 2016 Accepting new patients
Kittitas Valley Urgent Care, PLLC PastSince Oct 16, 2022 Accepting new patients

Locations

702 E Mountain View Ave
#1
Ellensburg, WA 98926
Phone (509) 968-5273

17 E Valley Mall Blvd
Ste 2B
Union Gap, WA 98903
Phone (509) 367-8733

1006 S 64th Ave
Ste 100
Yakima, WA 98908
Phone (509) 955-9248

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1306857149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E MOUNTAIN VIEW AVE STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263862",
            "telephone_number": "509-856-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E MOUNTAIN VIEW AVE STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263862",
            "telephone_number": "509-968-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA.PA.60127871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.