Elizabeth Jayne Keller Wood, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60048569 Issued in WA

Practice address

301 S 320TH St
Group Health Co-Op Federal Way Medical Center
Federal Way, WA 98003-5200

Phone

(253) 874-7000

NPI assigned

Feb 9, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victor R MichalakGroup PAC ID 8022918994, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewood@npdermatology.emadirect.md

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.

• Victor R. Michalak, MD

  dba Cosmetic Surgery & Dermatology, Inc.

  • Dermatology Physician
  • Issaquah, WA
  • NPI 1003863416
  Medicare reassignment Care Compare group
• Westside Dermatology, PLLC

  • Dermatology Physician
  • Seattle, WA
  • NPI 1396862280
  Medicare reassignment
• Victor R. Michalak

  dba dba Cosmetic Surgery & Dermatology of Issaquah, Inc.

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
  • NPI 1104877976
  NPD

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1376782763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WESTLAKE AVE N",
            "address_2": "SUITE 100 ATTN: BRANDON MARTIN RE: ELI WOOD PA-C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095232",
            "telephone_number": "206-448-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 320TH ST",
            "address_2": "GROUP HEALTH CO-OP FEDERAL WAY MEDICAL CENTER",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035200",
            "telephone_number": "253-874-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELIZABETH",
        "middle_name": "JAYNE KELLER",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60048569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Wolfe
• Joseph E Wolfer, M.A.
• Andrew Lupduc Wong, M.D.
• Rochelle Wong
• Ami Woo, FNP-BC
• Julie M Wood, PHARM. D.
• Erin Woodbridge, LMP
• Niles Woods
• Bobbi Woodward, N.P.
• Antoinette T Wright, LMP

• Physician Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.