Individual provider Active NPI

Randall Glen Wood, MD

  • Emergency Medicine Physician
  • Sioux City, IA
National Provider Identifier
1730407545
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-40959 Issued in IA
Practice address
2720 Stone Park Blvd.
Sioux City, IA 51104
Phone
(712) 279-3141
Fax
(712) 279-1852
NPI assigned
May 4, 2010
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-40959 IA Primary

Addresses

Primary practice location

2720 Stone Park Blvd.
Sioux City, IA 51104

Mailing address

2720 Stone Park Blvd.
Sioux City, IA 51104
Phone (712) 279-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20131009000380 IA Practitioner - Emergency Medicine 4284873605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.74 of 100Reported as group
Quality
76.47
Promoting interoperability
77
Improvement activities
40
Cost
71.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Jul 15, 2013 Accepting new patients
Jackson Recovery Centers, Inc. CurrentSince Nov 26, 2019 Accepting new patients
Sycamore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Jackson Recovery Centers, Inc. Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

789 N 2nd St
Cherokee, IA 51012
Phone (712) 225-2441

2322 E Kimberly Rd
Ste 200
Davenport, IA 52807
Phone (563) 355-0055

1233 Broadway
Denison, IA 51442
Phone (712) 263-5065

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

3200 W 4th St
Sioux City, IA 51103
Phone (712) 234-2300

3232 W 4th St
Sioux City, IA 51103
Phone (712) 202-0954

3320 W 4th St
Sioux City, IA 51103
Phone (712) 202-0777

3500 W 4th St
Sioux City, IA 51103
Phone (712) 226-1800

800 5th St
Sioux City, IA 51101
Phone (712) 234-2300

800 5th St
Ste 20
Sioux City, IA 51101

800 5th St
Ste 200
Sioux City, IA 51101
Phone (712) 234-2300

1713 McNaughton Way
Spencer, IA 51301
Phone (712) 584-2030

Interoperability endpoints

  • Direct secure messaging: rwood149896@direct.unitypoint.org

Organizations & group practices 6

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 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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1730407545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51104",
            "telephone_number": "712-279-3141",
            "fax_number": "712-279-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51104",
            "telephone_number": "712-279-3141",
            "fax_number": "712-279-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "RANDALL",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-40959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.