Individual provider Active NPI

Avery Wood, MD

  • Family Medicine Physician
  • North Bennington, VT
National Provider Identifier
1740230614
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42-9435 Issued in VT
Practice address
10 Bank Street
North Bennington, VT 05257-0726
Phone
(888) 421-6801
Fax
(888) 421-6801
NPI assigned
May 11, 2006
Last updated
Aug 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42-9435 VT Primary

Addresses

Primary practice location

10 Bank Street
North Bennington, VT 05257-0726

Mailing address

PO Box 726
North Bennington, VT 05257-0726
Phone (888) 421-6801

Other identifiers 1

IdentifierTypeStateIssuer
0VN1641MedicaidVT

Other names 1

  • Avery Michal Schroeder Wood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20080528000604 VT Practitioner - Family Practice 5496825853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Hospital Dr
Suite 108
Bennington, VT 05201-5010
Phone (802) 447-5519

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42-9435VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Family Medicine Current Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jan 23, 2025 Accepting new patients
Dr. Shellie Burdick LLC CurrentSince Aug 13, 2023 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Jan 23, 2025 Accepting new patients
Emergency and Acute Care Medical Company - Northeast, Inc. Past Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients

Locations

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

140 Hospital Dr
Bennington, VT 05201
Phone (802) 442-3520

140 Hospital Dr
Ste 108
Bennington, VT 05201
Phone (802) 447-1191

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

Interoperability endpoints

  • Direct secure messaging: avery.wood.1@3744.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1740230614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052570726",
            "telephone_number": "888-421-6801",
            "fax_number": "888-421-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BANK STREET",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052570726",
            "telephone_number": "888-421-6801",
            "fax_number": "888-421-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AVERY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "42-9435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1641",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "WOOD",
            "middle_name": "MICHAL SCHROEDER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Bennington, VT

Sources for this page

Verify at the official NPI Registry.