Elijah Camilo Wood

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14332 Issued in TX

Practice address

113 Green Oaks CT
Hudson Oaks, TX 76087-8900

Phone

(210) 569-3941

NPI assigned

Mar 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elijah.wood.p1@direct.thc.nextgenshare.com

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.

• Samuel H. Davis MD PA

  • Pediatrics Physician
  • Saginaw, TX
  • NPI 1396010096
  NPD (past)
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1336725936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GREEN OAKS CT",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878900",
            "telephone_number": "210-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GREEN OAKS CT",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878900",
            "telephone_number": "210-569-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELIJAH",
        "middle_name": "CAMILO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sigourney Downs Weathers, PT, DPT
• Dennis Weaver
• Anna Whitling
• Maggie Wilson, RDN, LD
• Robert Chase Wolf, DMD
• Barbara Wright
• Zahra K. Ali, MD, PLLC

• Medical Physician Assistant in Hudson Oaks, TX
• Providers in Hudson Oaks, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.