NPIMap

Individual provider Active NPI

Mark A Wood, DO

  • Family Medicine Physician
  • Galion, OH
National Provider Identifier
1356312110
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
345004233 Issued in OH
Practice address
955 Bucyrus Rd
Galion, OH 44833
Phone
(419) 468-4220
Fax
(419) 462-7019
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 345004233 OH Primary

Addresses

Primary practice location

955 Bucyrus Rd
Galion, OH 44833

Mailing address

700 N Columbus St
Crestline, OH 44827-1455

Other identifiers 2

IdentifierTypeStateIssuer
000000367566OtherOHANTHEM BCBS
0645181MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwood482457@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050713001165 OH Practitioner - Family Practice 2365478047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Galion Community HospitalGroup PAC ID 5496737439, 40 clinicians

Practice addresses (Care Compare)

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

955 Bucyrus Rd
Galion, OH 44833-1509
Phone (419) 468-0505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4233OHMDPsychologist
345004233OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galion Community Hospital CurrentSince Jul 1, 2005 Accepting new patients
Galion Community Hospital Family Medicine CurrentSince Jul 1, 2005 Accepting new patients
Galion Health Care Center, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Crystal Care Center of Mansfield Inc. Past Accepting new patients
Galion Pointe LLC Past Accepting new patients

Locations

700 N Columbus St
Crestline, OH 44827
Phone (419) 462-3485

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

1593 Olentangy Rd
Galion, OH 44833
Phone (419) 468-4841

955 Bucyrus Rd
Galion, OH 44833
Phone (419) 468-4220

715 Richland Mall
Ontario, OH 44906
Phone (419) 462-4547

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1356312110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BUCYRUS RD",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-468-4220",
            "fax_number": "419-462-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "345004233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000367566",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645181",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwood482457@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "955 Bucyrus Rd",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.