Thomas Stacy Wood, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G9017 Issued in TX

Practice address

5494 Glen Lakes Dr
Dallas, TX 75231-4308

Phone

(214) 692-6220

Fax

(214) 696-1579

NPI assigned

May 26, 2005

Last updated

Jul 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1407859135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5494 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314308",
            "telephone_number": "214-692-6220",
            "fax_number": "214-696-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5494 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314308",
            "telephone_number": "214-692-6220",
            "fax_number": "214-696-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "THOMAS",
        "middle_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G9017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180014986",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122821503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122821505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Grace Wood, LCSW
• Scott Wood, M.D.
• Steffanie Leigh Wood, B.S., M.ED.
• Tammy Lynn Wood, LCSW
• Thomas Erin Wood, L.P.C.
• William David Wood IV
• Alisha Woodall, MA, LPC
• Tyler Woodall, LPC-INTERN
• Kenetria Woodard, NP
• Natasha Marie Woodard, LCSW

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.