Betsy E. Wood DO PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS8123 Issued in FL

Legal business name

BETSY E. WOOD DO PA

Practice address

1100 W Stryker Rd
Avon Park, FL 33825-7300

Phone

(863) 453-7400

Fax

(863) 452-1981

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By 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. Betsy Ellen Wood, D.O.NPI 1679566251

Title

President

Phone

(863) 368-0538

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Betsy E Wood, DO

  • Family Medicine Physician
  • Avon Park, FL
  • NPI 1679566251
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1659667376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W STRYKER RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338257300",
            "telephone_number": "863-453-7400",
            "fax_number": "863-452-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W STRYKER RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338257300",
            "telephone_number": "863-453-7400",
            "fax_number": "863-452-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY E. WOOD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-368-0538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS8123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesha Lee Baker, ARNP
• Behavior Bridge of the Highlands LLC
• Marisol Benavides
• Debbie Benjamin
• Brian Thomas Best Sr.
• Bruline Bikar-Lindquist
• Sandra Joyce Billings, LCSW
• Crystal Lynn Blankenship, MASSAGE THERAPIST
• Dana Suzanne Bledsoe-Gonzalez, LMT
• David A. Boersma, D.C.P.A.

• Clinic/Center in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.