NPIMap

Organization Active NPI

Dr. Vic Wood Inc

Doing business as Doctors Urgent Care

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1467458760
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1142 Issued in WV
Legal business name
DR. VIC WOOD INC
Doing business as
Doctors Urgent Care
Practice address
24 Homestead Ave
Wheeling, WV 26003-6638
Phone
(304) 232-1020
Fax
(304) 232-5674
NPI assigned
Jun 22, 2005
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Victor A Wood, DONPI 1336145630
Title
Ceo
Phone
(304) 232-1020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1142 WV Primary

Addresses

Primary practice location

24 Homestead Ave
Wheeling, WV 26003-6638

Mailing address

PO Box 6745
Wheeling, WV 26003-0917
Phone (304) 233-9314

Other identifiers 2

IdentifierTypeStateIssuer
0007051000MedicaidWV
2077989MedicaidOH

Other names 1

  • Doctors Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000078 WV Part B Supplier - Clinic/Group Practice 0446145742 Receives reassigned benefits from 16 practitioners
Practice locations: Wheeling, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0235608Doctors Urgent Care Dr Vic Wood Inc24 Homestead Avenue, Wheeling, WV 26003ComplianceMar 10, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1467458760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6745",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030917",
            "telephone_number": "304-233-9314",
            "fax_number": "304-233-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "304-232-1020",
            "fax_number": "304-232-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VIC WOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-232-1020",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007051000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077989",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.