Individual provider Active NPI

Alex Joseph Wood

  • Physician Assistant
  • Newport News, VA
National Provider Identifier
1538820642
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110012076 Issued in VA
Practice address
12695 McManus Blvd Ste 4a-B
Newport News, VA 23602-4435
Phone
(757) 369-0439
Fax
(757) 369-0513
NPI assigned
Jan 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2500092248 MO
Physician Assistant 363A00000X 0110012076 VA Primary

Addresses

Primary practice location

12695 McManus Blvd Ste 4a-B
Newport News, VA 23602-4435

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (208) 989-3036

Other practice location 2

3437 Caroline St
Saint Louis, MO 63104-1111
Phone (208) 989-3036

Other practice location 3

5630 Lowery Rd
Norfolk, VA 23502-2233
Phone (757) 455-5009

Other practice location 4

1035 Champions Way Ste 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

Other practice location 5

1069 Centerbrooke Ln
Suffolk, VA 23434-8475
Phone (757) 925-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002067 MO Practitioner - Physician Assistant 3072967165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saint Louis University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1225 S Grand Blvd
Saint Louis, MO 63104-1016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Sep 1, 2023 Accepting new patients
Anne Arundel Dermatology LLC CurrentSince Jul 7, 2026 Accepting new patients
SSM Medical Group Inc. Past Accepting new patients

Locations

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

2315 Dougherty Ferry Rd
Ste 200
Saint Louis, MO 63122
Phone (314) 977-9666

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

12695 McManus Blvd
Bldg 4A
Newport News, VA 23602
Phone (757) 369-0439

12695 McManus Blvd
Ste 4AB
Newport News, VA 23602
Phone (757) 369-0439

1035 Champions Way
Ste 100
Suffolk, VA 23435
Phone (757) 394-1540

Interoperability endpoints

  • Direct secure messaging: awood454187@direct-ehr-ssmhc.com

Organizations & group practices 4

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 1

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": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1538820642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12695 MCMANUS BLVD STE 4A-B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024435",
            "telephone_number": "757-369-0439",
            "fax_number": "757-369-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041003",
            "country_code": "US",
            "telephone_number": "208-989-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3437 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041111",
            "country_code": "US",
            "telephone_number": "208-989-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5630 Lowery Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022233",
            "country_code": "US",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Champions Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353762",
            "country_code": "US",
            "telephone_number": "757-967-0790",
            "fax_number": "757-697-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Centerbrooke Ln",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348475",
            "country_code": "US",
            "telephone_number": "757-925-1860",
            "fax_number": "757-925-1863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ALEX",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2500092248",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110012076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.