Individual provider Active NPI

Robert Wayne Wood, M.D.

  • Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1497718332
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9384 Issued in AZ
Practice address
6567 E Carondelet Dr
Suite 415
Tucson, AZ 85710-2156
Phone
(520) 885-6701
Fax
(520) 885-9037
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9384 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr
Suite 415
Tucson, AZ 85710-2156

Mailing address

6567 E Carondelet Dr
Suite 415
Tucson, AZ 85710-2156
Phone (520) 885-6701

Other identifiers 1

IdentifierTypeStateIssuer
201020-10MedicaidAZ

Other names 1

  • Dr. R. Wayne Wood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9384AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeths Health Center Inc CurrentSince Jul 1, 2017 Accepting new patients
Valley ENT, PC Past Accepting new patients
Southern Arizona Orthopedics, P.C. Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

140 W Speedway Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 628-7871

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1497718332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 415",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-885-6701",
            "fax_number": "520-885-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 415",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-885-6701",
            "fax_number": "520-885-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "9384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201020-10",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "WOOD",
            "middle_name": "WAYNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.