Individual provider Active NPI

Mark D Wood, MD

  • Surgery Physician
  • Mechanicsville, VA
National Provider Identifier
1770564601
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101230746 Issued in VA
Practice address
8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone
(804) 559-0194
Fax
(804) 559-0198
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 0101230746 VA Primary

Addresses

Primary practice location

8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816

Mailing address

8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone (804) 559-0194

Other identifiers 2

IdentifierTypeStateIssuer
010098769MedicaidVA
C06115OtherVAGROUP PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000508 VA Practitioner - General Surgery 0143295030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 764-6000

8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone (804) 559-0194

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230746VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Memorial Regional Medical Center Inc CurrentSince Oct 11, 2010 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Oct 11, 2010 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Surgery Past Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients
Spero Health of Virginia, LLC PastSince Nov 16, 2022 Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Surgery Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8262 Atlee Rd
Ste 205
Mechanicsvlle, VA 23116
Phone (804) 559-0194

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

Interoperability endpoints

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

Organizations & group practices 11

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 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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1770564601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 ATLEE RD",
            "address_2": "SUITE 205",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161816",
            "telephone_number": "804-559-0194",
            "fax_number": "804-559-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 ATLEE RD",
            "address_2": "SUITE 205",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161816",
            "telephone_number": "804-559-0194",
            "fax_number": "804-559-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101230746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010098769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.