Individual provider Active NPI

Daniel Joseph Wood, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Charleston, WV
National Provider Identifier
1649264086
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
16761 Issued in WV
Practice address
1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301-3001
Phone
(304) 342-1113
Fax
(304) 346-2271
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 16761 WV
Plastic and Reconstructive Surgery Physician 2086S0122X 16761 WV Primary

Addresses

Primary practice location

1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301-3001

Mailing address

1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301-3001
Phone (304) 342-1113

Other identifiers 1

IdentifierTypeStateIssuer
0114153000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20081209000048 WV Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6800968926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16761WVMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hans Lee MD Inc Plastic Surgery CurrentSince Jul 15, 1996 Accepting new patients
Charleston Surgical Hospital, LLC PastSince Apr 30, 2003 Accepting new patients
Charleston Surgical Hospital Healthcare Group, PLLC PastSince Apr 5, 2018 Accepting new patients
Mountain Anesthesia, LLC Past Accepting new patients

Locations

1306 Kanawha Blvd E
#100
Charleston, WV 25301
Phone (304) 342-1113

1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371

1306 Kanawha Blvd E
Ste 100
Charleston, WV 25301
Phone (304) 342-1113

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1649264086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 KANAWHA BLVD E",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013001",
            "telephone_number": "304-342-1113",
            "fax_number": "304-346-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 KANAWHA BLVD E",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013001",
            "telephone_number": "304-342-1113",
            "fax_number": "304-346-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WV",
            "license": "16761",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WV",
            "license": "16761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114153000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.