Active NPI
David Richard Wood, MD
- Gastroenterology Physician
- Winston Salem, NC
National Provider Identifier
1710091616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 21242
- Practice address
- 1901 S Hawthorne Rd
Ste. 310
Winston Salem, NC 27103-3921 - Phone
- (336) 448-2427
- Fax
- (336) 765-2869
- NPI assigned
- Aug 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21242 | NC | |
| Gastroenterology Physician | 207RG0100X | 21242 | NC | Primary |
Addresses
Primary practice location
1901 S Hawthorne Rd
Ste. 310
Winston Salem, NC 27103-3921
Mailing address
1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 448-2427
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88875 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8988875 | Medicaid | NC | |
| 2901102 | Other | UNITED HEALTHCARE | |
| P00924474 | Other | NC | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwood155212@direct.novanthealth.org | Health Information Exchange (HIE) | GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1710091616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034014",
"telephone_number": "336-448-2427",
"fax_number": "336-765-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S HAWTHORNE RD",
"address_2": "STE. 310",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033921",
"telephone_number": "336-448-2427",
"fax_number": "336-765-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "DAVID",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2023-11-27",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "21242",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "21242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88875",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8988875",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2901102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00924474",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwood155212@direct.novanthealth.org",
"affiliation": "Y",
"endpointDescription": "Direct Message Address",
"affiliationName": "GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1901 S Hawthorne Rd",
"address_2": "Ste. 310",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271033921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.