NPIMap

Individual provider Active NPI

Victor A Wood, DO

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1336145630
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1142 Issued in WV
Practice address
24 Homestead Ave
Wheeling, WV 26003-6638
Phone
(304) 232-1020
Fax
(304) 232-1209
NPI assigned
Jun 22, 2005
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1142 WV Primary

Addresses

Primary practice location

24 Homestead Ave
Wheeling, WV 26003-6638

Mailing address

24 Homestead Ave
Wheeling, WV 26003-6638
Phone (304) 232-1020

Other identifiers 2

IdentifierTypeStateIssuer
2077970MedicaidOH
0043056000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080512000394 OH Practitioner - General Practice 9335034636 Reassigns benefits to 1 organization
I20121026000072 WV Practitioner - Family Practice 9335034636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Vic Wood IncGroup PAC ID 0446145742, 4 clinicians
Doctors Urgent Care LLCGroup PAC ID 2163599150, 2 clinicians

Practice addresses (Care Compare)

24 Homestead Ave
Wheeling, WV 26003-6638
Phone (304) 232-1020

51342 National Rd
Suite a
Saint Clairsville, OH 43950-1700
Phone (740) 699-0940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Vic Wood Inc Family Medicine CurrentSince Jul 1, 1988 Accepting new patients
Doctors Urgent Care LLC Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
Valley Radiologists Inc Past Accepting new patients

Locations

90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425

51342 National Rd
St Clairsvle, OH 43950
Phone (740) 695-6500

51342 National Rd
Ste A
St Clairsvle, OH 43950
Phone (740) 699-0940

24 Homestead Ave
Wheeling, WV 26003
Phone (304) 232-1020

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1336145630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "304-232-1020",
            "fax_number": "304-232-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "304-232-1020",
            "fax_number": "304-232-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "VICTOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077970",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043056000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.