Avery Wood MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

430F01 Issued in VT

Legal business name

AVERY WOOD MD LLC

Practice address

10 Bank Street
North Bennington, VT 05257

Phone

(888) 421-6801

Fax

(888) 421-6801

NPI assigned

Mar 1, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avery Wood, M.D.NPI 1740230614

Title

Owner

Phone

(888) 421-6801

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avery Wood, MD

  • Family Medicine Physician
  • North Bennington, VT
  • NPI 1740230614
  Authorized official Same address or phone
• Charisma Ann Lanez, D.O.

  • Family Medicine Physician
  • Jackson, NJ
  • NPI 1942637988
  NPD
• Shellie Burdick, D.O.

  • Family Medicine Physician
  • Pownal, VT
  • NPI 1376839332
  NPD (past)

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588834931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052570726",
            "telephone_number": "888-421-6801",
            "fax_number": "888-421-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BANK STREET",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "05257",
            "telephone_number": "888-421-6801",
            "fax_number": "888-421-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY WOOD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-421-6801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VT",
            "license": "430F01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014938",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Alli, LADC LCMHC
• Andrea J Alli Counseling PLLC
• Crowers Counseling LLC
• Erika Dawn Crowers, LICSW
• Dr. Shellie Burdick LLC
• Gwendolyn Marie Eagan, MS, RD
• Allison Elwell

• Primary Care Clinic/Center in North Bennington, VT
• Providers in North Bennington, VT by specialty
• Primary Care Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.