Individual provider Active NPI

Douglas Robert Wood, MD

  • Emergency Medicine Physician
  • Augusta, ME
National Provider Identifier
1538117155
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
015079 Issued in ME
Practice address
10 Whitten Rd
Augusta, ME 04330-6019
Phone
(207) 466-2400
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 015079 ME Primary

Addresses

Primary practice location

10 Whitten Rd
Augusta, ME 04330-6019

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050815000677 ME Practitioner - Emergency Medicine 5395775886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

193 Bath Rd
Brunswick, ME 04011-2607
Phone (207) 424-2272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015079MEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 18, 2023 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 18, 2023 Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients
Mainehealth Emergency Medicine Past Accepting new patients

Locations

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

10 Whitten Rd
Augusta, ME 04330
Phone (207) 466-2400

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

25 June St
Sanford, ME 04073
Phone (207) 324-4310

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

149 North St
Waterville, ME 04901
Phone (207) 622-1959

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

111 New Hampshire Ave
Portsmouth, NH 03801

Organizations & group practices 7

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1538117155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WHITTEN RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306019",
            "telephone_number": "207-466-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "015079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.