Individual provider Active NPI

Scott H Wood, M.D.

  • Internal Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1740377696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G48993 Issued in CA
Practice address
401 Burgess Dr
Suite B
Menlo Park, CA 94025-3408
Phone
(650) 325-9955
Fax
(650) 325-1295
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G48993 CA Primary

Addresses

Primary practice location

401 Burgess Dr
Suite B
Menlo Park, CA 94025-3408

Mailing address

401 Burgess Dr
Suite B
Menlo Park, CA 94025-3408
Phone (650) 325-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110516000519 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5092991661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48993CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: scott.wood@95772016644.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740377696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR",
            "address_2": "SUITE B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253408",
            "telephone_number": "650-325-9955",
            "fax_number": "650-325-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR",
            "address_2": "SUITE B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253408",
            "telephone_number": "650-325-9955",
            "fax_number": "650-325-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G48993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.