Active NPI
William S Wood, MD
- Anesthesiology Physician
- Juneau, AK
National Provider Identifier
1699865550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4680
- Practice address
- 3260 Hospital Dr
Juneau, AK 99801-7808 - Phone
- (907) 586-2611
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4680 | AK | Primary |
Addresses
Primary practice location
3260 Hospital Dr
Juneau, AK 99801-7808
Mailing address
5319 SW Westgate Dr
#241
Portland, OR 97221-2432
Phone (503) 297-7223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD76911 | Medicaid | AK |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21679 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1699865550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 SW WESTGATE DR",
"address_2": "#241",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212432",
"telephone_number": "503-297-7223",
"fax_number": "503-297-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017808",
"telephone_number": "907-586-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "WILLIAM",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AK",
"license": "4680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD76911",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.