NPIMap

Individual provider Active NPI

Clint Edwin Wood, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1336357623
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
E-6385 Issued in AR
Practice address
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone
(479) 441-4000
NPI assigned
May 18, 2007
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-6385 AR
Vascular & Interventional Radiology Physician 2085R0204X E-6385 AR Primary

Addresses

Primary practice location

1001 Towson Ave
Fort Smith, AR 72901-4921

Mailing address

PO Box 1983
Fort Smith, AR 72902-1983
Phone (479) 452-9416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000114 AR Practitioner - Diagnostic Radiology 4981869559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Services P aGroup PAC ID 8527065804, 8 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
Arkansas Heart Center, PLCGroup PAC ID 4082502174, 5 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone 4794529416101

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7632
Phone (479) 484-1010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
84.79
Improvement activities
40
Cost
66.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6385ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Services P a Diagnostic Radiology CurrentSince Jul 9, 2012 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Arkansas Heart Center, PLC CurrentSince Feb 1, 2015 Accepting new patients
Arkansas Health Group CurrentSince Jan 1, 2026 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1001 Towson Ave
Fl 6
Fort Smith, AR 72901
Phone (479) 441-3980

4200 Jenny Lind Rd
Ste A
Fort Smith, AR 72901
Phone (479) 484-1010

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2561

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

Interoperability endpoints

  • Direct secure messaging: cwood217395@direct.baptist-healthar.org

Organizations & group practices 5

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1336357623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1983",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021983",
            "telephone_number": "479-452-9416",
            "fax_number": "479-242-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CLINT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-6385",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "E-6385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.