Individual provider Active NPI

Arthur E Wood III, MD

  • General Practice Physician
  • Waynesboro, MS
National Provider Identifier
1699718981
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
09207 Issued in MS
Practice address
920 Matthew Drive
Suite D
Waynesboro, MS 39367
Phone
(601) 735-3918
Fax
(601) 735-4227
NPI assigned
Jun 14, 2006
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 09207 MS Primary

Addresses

Primary practice location

920 Matthew Drive
Suite D
Waynesboro, MS 39367

Mailing address

920 Matthew Drive
Suite D
Waynesboro, MS 39367
Phone (601) 735-3918

Other identifiers 2

IdentifierTypeStateIssuer
00018806MedicaidMS
548509002OtherALAL MEDICAID

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09207MSMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1699718981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DRIVE",
            "address_2": "SUITE D",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "39367",
            "telephone_number": "601-735-3918",
            "fax_number": "601-735-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DRIVE",
            "address_2": "SUITE D",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "39367",
            "telephone_number": "601-735-3918",
            "fax_number": "601-735-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ARTHUR",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "09207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018806",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MEDICAID",
            "identifier": "548509002",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.