Active NPI
Careathome Medical Practice Ky
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAREATHOME MEDICAL PRACTICE KY
- Practice address
- 169 Madison Ave Ste 2817
New York, NY 10016-5101 - Phone
- (888) 553-2823
- Fax
- (888) 553-2823
- NPI assigned
- Jan 6, 2021
- Last updated
- Aug 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Wood III, MD
- Title
- Medical Director
- Phone
- (917) 410-7931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
169 Madison Ave Ste 2817
New York, NY 10016-5101
Mailing address
169 Madison Ave Ste 2817
New York, NY 10016-5101
Phone (917) 410-7931
Other practice location 1
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (888) 553-2823
Other practice location 2
5851 Legacy Cir Fl 6
Plano, TX 75024-5966
Phone (888) 553-2823
Other practice location 3
2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone (888) 553-2823
Other practice location 4
600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone (888) 553-2823
Other practice location 5
287 Park Ave S Fl 3
New York, NY 10010-4573
Phone (917) 410-7931
Other practice location 6
2333 Alexandria Dr Ofc 509
Lexington, KY 40504-3215
Phone (888) 553-2823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9822874 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, OH, TX, WA, MI, TN, AZ, IN, NC, GA, SC, CT, IL, IA
Enrollment records 14
National Provider Directory
National Provider DirectoryLocations
263 Tresser Blvd
#961B
Stamford, CT 06901
263 Tresser Blvd
Ofc 961B
Stamford, CT 06901
1372 Peachtree St NE
Ofc 218
Atlanta, GA 30309
699 Walnut St
Ste 411
Des Moines, IA 50309
Phone (888) 563-2823
50 S Main St
Ste 260
Naperville, IL 60540
2333 Alexandria Dr
Ofc 509
Lexington, KY 40504
2333 Alexandria Dr
Ste 509
Lexington, KY 40504
Phone (917) 410-7931
2723 S State St
Ste 150
Berrien Springs, MI 49104
525 N Tryon St
Ofc 1624
Charlotte, NC 28202
1299 Farnam St
Ste 30
Omaha, NE 68102
287 Park Ave S
Ste 511
New York, NY 10010
600 Superior Ave
Fl 5
Cleveland, OH 44114
900 Trail Ridge Rd
Ofc 132
Aiken, SC 29803
5851 Legacy Cir
Plano, TX 75024
5851 Legacy Cir
Fl 5
Plano, TX 75024
5851 Legacy Cir
Fl 66
Plano, TX 75024
5851 Legacy Cir
Fl 666
Plano, TX 75024
5851 Legacy Cir
Ste 6
Plano, TX 75024
1420 5th Ave
Ste 2223
Seattle, WA 98101
Practitioners & affiliated clinicians
Practitioners 59
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Statesville, NC
- NPI 1821675158
IA, IL, IN, MI, OH, TX
-
- Family Nurse Practitioner
- Palo Alto, CA
- NPI 1831598556
CT, NE, TX
-
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1902521388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1467040345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 2817",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "917-410-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 2817",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823"
}
],
"practiceLocations": [
{
"address_1": "1299 Farnam St Ste 300",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681021857",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5851 Legacy Cir Fl 6",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750245966",
"country_code": "US",
"telephone_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2723 S State St Ste 150",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481046188",
"country_code": "US",
"telephone_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Superior Ave E Ste 1300",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441142654",
"country_code": "US",
"telephone_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "287 Park Ave S Fl 3",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100104573",
"country_code": "US",
"telephone_number": "917-410-7931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2333 Alexandria Dr Ofc 509",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043215",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAREATHOME MEDICAL PRACTICE KY",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "917-410-7931",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9822874",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.