Individual provider Active NPI

Kurt T. Wood, PA-C

  • Physician Assistant
  • Deland, FL
National Provider Identifier
1780683359
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3194 Issued in FL
Practice address
740 W Plymouth Ave
Deland, FL 32720-3282
Phone
(386) 734-9122
Fax
(386) 736-4348
NPI assigned
Jul 18, 2005
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3194 FL Primary
Medical Physician Assistant 363AM0700X PA3194 FL
Surgical Physician Assistant 363AS0400X PA3194 FL

Addresses

Primary practice location

740 W Plymouth Ave
Deland, FL 32720-3282

Mailing address

740 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 734-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080110000423 FL Practitioner - Physician Assistant 6103906565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone (321) 735-8960

1840 S Washington Ave
Titusville, FL 32780-4716
Phone (321) 360-5577

2500 Minton Rd
West Melbourne, FL 32904-6602
Phone (321) 633-3278

275 W Cocoa Beach Aswy
Cocoa Beach, FL 32931-3529
Phone (321) 799-7777

275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529
Phone (321) 799-7777

3045 Columbia Blvd
Suite A108
Titusville, FL 32780-7864
Phone (321) 264-9176

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

7025 N Hwy 1
Cocoa, FL 32927-5092
Phone (321) 633-3278

7925 N Wickham Rd
Suite a
Melbourne, FL 32940-8211
Phone (321) 751-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Dec 1, 2025 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Dec 1, 2025 Accepting new patients
Baker Heard Osteen & Davenport MD PA Past Accepting new patients
Stephen Schreiber, MD Past Accepting new patients
Associates in Neurosurgery, PA Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Florida Otolaryngology Group, P.a. PastSince Oct 3, 2012 Accepting new patients
German Montoya, M.D.PA Past Accepting new patients
Jewett Orthopaedic Clinic LLC Past Accepting new patients
Greater Orlando Neursurgery and Spine PastSince Feb 7, 1999 Accepting new patients

Locations

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1780683359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-9122",
            "fax_number": "386-736-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-9122",
            "fax_number": "386-736-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KURT",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3194",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3194",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.