Individual provider Active NPI

Jonathan Robert Wood, PA-C

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1730292301
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002325 Issued in VA
Practice address
501 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone
(540) 372-6737
Fax
(540) 372-3510
NPI assigned
Aug 16, 2006
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002325 VA Primary

Addresses

Primary practice location

501 Park Hill Dr
Fredericksburg, VA 22401-3377

Mailing address

501 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone (540) 372-6737

Other practice location 1

9369 Atlee Rd Ste 3107
Mechanicsville, VA 23116-2400
Phone (804) 440-4878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwoods6970@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000389 VA Practitioner - Physician Assistant 9436159027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Orthopaedics and Sports MedicineGroup PAC ID 6305742610, 9 clinicians
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

501 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone (540) 372-6737

9369 Atlee Rd
Suite 3107
Mechanicsville, VA 23116-2400
Phone (804) 440-4878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110002325VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Feb 26, 2013 Accepting new patients
Orthovirginia, Inc. Physician Assistant CurrentSince Feb 26, 2013 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

9369 Atlee Rd
Ste 3107
Mechanicsville, VA 23116
Phone (804) 440-4878

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Interoperability endpoints

  • Direct secure messaging: jonathanwood@cvosm.allscriptsdirect.net
  • Direct secure messaging: jwood27221@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: jwoods6970@direct.orthovirginia.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1730292301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013377",
            "telephone_number": "540-372-6737",
            "fax_number": "540-372-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013377",
            "telephone_number": "540-372-6737",
            "fax_number": "540-372-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9369 Atlee Rd Ste 3107",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162400",
            "country_code": "US",
            "telephone_number": "804-440-4878",
            "fax_number": "804-497-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwoods6970@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Wood direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "9369 Atlee Rd Ste 3107",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231162400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.