Individual provider Active NPI

William Cleveland Wood III, M.D.

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1710095310
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22387 Issued in AL
Practice address
52 Medical Park Dr E
Suite Number 308
Birmingham, AL 35235-3430
Phone
(205) 838-3025
Fax
(205) 838-3897
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22387 AL Primary

Addresses

Primary practice location

52 Medical Park Dr E
Suite Number 308
Birmingham, AL 35235-3430

Mailing address

52 Medical Park Dr E
Suite Number 308
Birmingham, AL 35235-3430
Phone (205) 838-3025

Other identifiers 4

IdentifierTypeStateIssuer
051509118MedicaidAL
17-10608OtherALUNITED HEALTHCARE
C71136OtherALVIVA
051509118OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000636 AL Practitioner - General Surgery 3173793155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rollins, Miles and Schmitt PCGroup PAC ID 5496776759, 3 clinicians

Practice addresses (Care Compare)

52 Medical Park Dr E
Suite 307
Birmingham, AL 35235-3432
Phone (205) 838-3047

Hospital & facility affiliations

  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rollins, Miles and Schmitt PC CurrentSince Aug 31, 2022 Accepting new patients
Eastern Surgical Associates, P.C. CurrentSince Jul 1, 2002 Accepting new patients

Locations

52 Medical Park Dr E
Ste 307
Birmingham, AL 35235
Phone (205) 838-3047

52 Medical Park Dr E
Ste 308
Birmingham, AL 35235
Phone (205) 838-3025

141 Village St
Birmingham, AL 35242

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBACA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1710095310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "SUITE NUMBER 308",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3025",
            "fax_number": "205-838-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "SUITE NUMBER 308",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3025",
            "fax_number": "205-838-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WILLIAM",
        "middle_name": "CLEVELAND",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "22387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051509118",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "17-10608",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "C71136",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051509118",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.