Individual provider Active NPI

Mathew J Wood, DO

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1467655712
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV2255 Issued in WV
Practice address
2108 Lumber Ave Ste 6
Wheeling, WV 26003-5350
Phone
(304) 780-6958
Fax
(888) 267-0548
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV2255 WV Primary

Addresses

Primary practice location

2108 Lumber Ave Ste 6
Wheeling, WV 26003-5350

Mailing address

2108 Lumber Ave Ste 6
Wheeling, WV 26003-5350
Phone (304) 780-6958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000127 WV Practitioner - Family PracticePractitioner - Emergency Medicine 5496821274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2108 Lumber Ave
Suite 6
Wheeling, WV 26003-5350
Phone (304) 780-6958

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Harrison Community Hospital Hospital, Cadiz, OH, CCN 361311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV2255WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine LLC Family Medicine CurrentSince Jun 12, 2009 Accepting new patients

Locations

2108 Lumber Ave
Ste 6
Wheeling, WV 26003
Phone (304) 780-6958

2108 Lumber Ave
Wheeling, WV 26003
Phone (304) 238-0212

Interoperability endpoints

  • Direct secure messaging: mathewwooddo@woodfamilymed.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1467655712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LUMBER AVE STE 6",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035350",
            "telephone_number": "304-780-6958",
            "fax_number": "888-267-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LUMBER AVE STE 6",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035350",
            "telephone_number": "304-780-6958",
            "fax_number": "888-267-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MATHEW",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.