Active NPI
Robert D Wood, MD
- Anesthesiology Physician
- Cottonwood, ID
National Provider Identifier
1689731655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M7876
- Practice address
- 701 Lewiston Street
Cottonwood, ID 83522-0565 - Phone
- (208) 962-3267
- Fax
- (208) 962-2313
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M7876 | ID | Primary |
Addresses
Primary practice location
701 Lewiston Street
Cottonwood, ID 83522-0565
Mailing address
PO Box 565
Cottonwood, ID 83522-0565
Phone (208) 962-3267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7876 | ID | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689731655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 565",
"city": "COTTONWOOD",
"state": "ID",
"postal_code": "835220565",
"telephone_number": "208-962-3267",
"fax_number": "208-962-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 LEWISTON STREET",
"city": "COTTONWOOD",
"state": "ID",
"postal_code": "835220565",
"telephone_number": "208-962-3267",
"fax_number": "208-962-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M7876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.