Individual provider Active NPI

Amy Coreen Wood, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1619944188
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3919 Issued in TX
Practice address
7515 Main St
Suite 770
Houston, TX 77030-4537
Phone
(713) 797-6171
Fax
(713) 797-6669
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K3919 TX Primary

Addresses

Primary practice location

7515 Main St
Suite 770
Houston, TX 77030-4537

Mailing address

7515 Main St
Suite 770
Houston, TX 77030-4537
Phone (713) 797-6171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080107000287 TX Practitioner - Dermatology 2860572641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

7515 Main St
Suite 770
Houston, TX 77030-4537
Phone (713) 797-6171

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1024
Removal or shaving of skin growth1-10
Skin biopsy564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3919TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. CurrentSince Nov 1, 2018 Accepting new patients
Dermatology Associates Past Accepting new patients

Locations

5420 West Loop S
Ste 4500
Bellaire, TX 77401
Phone (713) 529-8787

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

7515 Main St
Ste 770
Houston, TX 77030
Phone (713) 797-6171

2300 Green Oak Dr
Ste 200
Kingwood, TX 77339
Phone (281) 358-7600

2225 Williams Trace Blvd
Ste 112
Sugar Land, TX 77478
Phone (281) 313-0006

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1619944188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "address_2": "SUITE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304537",
            "telephone_number": "713-797-6171",
            "fax_number": "713-797-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "address_2": "SUITE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304537",
            "telephone_number": "713-797-6171",
            "fax_number": "713-797-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMY",
        "middle_name": "COREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.