Individual provider Active NPI

Michael James Wood, M.D., M.S.

  • Surgery Physician
  • Concord, NH
National Provider Identifier
1336273234
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15274 Issued in NH
Practice address
253 Pleasant St
Concord, NH 03301-7560
Phone
(603) 229-5114
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 060-0003194 VT
Surgery Physician 208600000X MD13262 RI
Surgery Physician 208600000X 15274 NH Primary

Addresses

Primary practice location

253 Pleasant St
Concord, NH 03301-7560

Mailing address

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 229-5114

Other identifiers 4

IdentifierTypeStateIssuer
32000752MedicaidNH
060-0003194OtherVTPHYSICIAN LIMITED PERMIT
MD13262OtherRIRI MEDICAL LICENSE
15274OtherNHNH MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000462 NH Practitioner - General Surgery 1658564349 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, shared by 2 NPIs, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)18
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
060-0003194VTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Surgery CurrentSince Jan 1, 2012 Accepting new patients
Catholic Medical Center CurrentSince Jun 14, 2015 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 1, 2012 Accepting new patients
Catholic Medical Center CurrentSince Jun 14, 2015 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Mar 16, 2015 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Mar 16, 2015 Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

769 S Main St
Manchester, NH 03102
Phone (603) 641-6700

Interoperability endpoints

  • Direct secure messaging: mwood63942@direct.dartmouth-hitchcock.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1336273234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017560",
            "telephone_number": "603-229-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017560",
            "telephone_number": "603-229-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "060-0003194",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD13262",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "15274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32000752",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LIMITED PERMIT",
            "identifier": "060-0003194",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICAL LICENSE",
            "identifier": "MD13262",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICAL LICENSE",
            "identifier": "15274",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.