NPIMap

Individual provider Active NPI

Edmond E. Wood, M.D.

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1356321004
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
021203 Issued in LA
Practice address
5640 Read Blvd Ste 550
New Orleans, LA 70127-7812
Phone
(504) 658-2750
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 021203 LA Primary

Addresses

Primary practice location

5640 Read Blvd Ste 550
New Orleans, LA 70127-7812

Mailing address

7300 Lakeshore Dr Apt 10
New Orleans, LA 70124-2462
Phone (504) 239-2863

Other identifiers 2

IdentifierTypeStateIssuer
1910864MedicaidLA
G6438OtherLABLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040831000140 LA Practitioner - Family PracticePractitioner - Emergency Medicine 7517932882 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021203LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 30, 2014 Accepting new patients
Jackson Parish Hospital CurrentSince Apr 30, 2013 Accepting new patients
East Carroll Parish Hospital CurrentSince May 11, 2013 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Oct 12, 2010 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 30, 2014 Accepting new patients
East Carroll Parish Hospital CurrentSince May 11, 2013 Accepting new patients
Acs Emergency Services of Mississippi Professional Association Emergency Medicine PastSince Sep 20, 2020 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
West Florida Radiology Associates PA Past Accepting new patients
Cenla Chiropractic & Wellness Past Accepting new patients
Nes Louisiana Inc Emergency Medicine Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1356321004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 LAKESHORE DR APT 10",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242462",
            "telephone_number": "504-239-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 READ BLVD STE 550",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701277812",
            "telephone_number": "504-658-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "EDMOND",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "021203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910864",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "G6438",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.