Active NPI
Wood OB GYN Associates
- Obstetrics & Gynecology Physician
- Longview, TX
National Provider Identifier
1619090925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J0176
- Legal business name
- WOOD OB GYN ASSOCIATES
- Practice address
- 703 E Marshall Ave
Suite 3000
Longview, TX 75601-5500 - Phone
- (903) 315-1970
- Fax
- (903) 315-1977
- NPI assigned
- Apr 10, 2007
- Last updated
- Nov 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Teresa Wood, M.D.
- Title
- Vice President
- Phone
- (903) 315-1970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J0176 | TX | Primary |
Addresses
Primary practice location
703 E Marshall Ave
Suite 3000
Longview, TX 75601-5500
Mailing address
703 E Marshall Ave
Suite 3000
Longview, TX 75601-5500
Phone (903) 315-1970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084111601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Longview, TX
- NPI 1306961917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1619090925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 E MARSHALL AVE",
"address_2": "SUITE 3000",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015500",
"telephone_number": "903-315-1970",
"fax_number": "903-315-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 E MARSHALL AVE",
"address_2": "SUITE 3000",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015500",
"telephone_number": "903-315-1970",
"fax_number": "903-315-1977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOOD OB GYN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "903-315-1970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J0176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084111601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.