Active NPI
Donald Willace Wood, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
National Provider Identifier
1326040833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0035409
- Practice address
- 3110 S Victor Ave
Tulsa, OK 74105-2228 - Phone
- (918) 742-1884
- Fax
- (918) 742-6674
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0035409 | OK | Primary |
Addresses
Primary practice location
3110 S Victor Ave
Tulsa, OK 74105-2228
Mailing address
3110 S Victor Ave
Tulsa, OK 74105-2228
Phone (918) 742-1884
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0035409 | OK | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1326040833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 S VICTOR AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741052228",
"telephone_number": "918-742-1884",
"fax_number": "918-742-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 S VICTOR AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741052228",
"telephone_number": "918-742-1884",
"fax_number": "918-742-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "DONALD",
"middle_name": "WILLACE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0035409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.