Organization Active NPI

Wood Cardiothoracic and Vascular Institute, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gadsden, AL
National Provider Identifier
1568072189
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
WOOD CARDIOTHORACIC AND VASCULAR INSTITUTE, LLC
Practice address
Wood Cardiothoracic and Vascular Institute, LLC
303 Bay Street, Ste. 201
Gadsden, AL 35901-5203
Phone
(256) 543-5940
Fax
(256) 467-4317
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Lee Wood
Title
Office Manager
Phone
(256) 279-8738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

Wood Cardiothoracic and Vascular Institute, LLC
303 Bay Street, Ste. 201
Gadsden, AL 35901-5203

Mailing address

405 S 1St St # 405
Gadsden, AL 35901-5358
Phone (256) 279-8738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915000798 AL Part B Supplier - Clinic/Group Practice 7113345745 Receives reassigned benefits from 1 practitioner
Practice locations: Gadsden, AL

National Provider Directory

National Provider Directory

Locations

405 S 1st St
Gadsden, AL 35901
Phone (256) 490-5246

303 Bay St
Ste 201
Gadsden, AL 35901
Phone (256) 543-3877

405 S 1st St
#405
Gadsden, AL 35901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22247/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1568072189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S 1ST ST # 405",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015358",
            "telephone_number": "256-279-8738",
            "fax_number": "256-963-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOOD CARDIOTHORACIC AND VASCULAR INSTITUTE, LLC",
            "address_2": "303 BAY STREET, STE. 201",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015203",
            "telephone_number": "256-543-5940",
            "fax_number": "256-467-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD CARDIOTHORACIC AND VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2022-02-07",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-279-8738"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.