Ryan Wood, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10306 Issued in AZ

Practice address

1490 N Turquoise Dr
Flagstaff, AZ 86001-1383

Phone

(928) 774-5074

Fax

(928) 779-0884

NPI assigned

Apr 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, DC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Arizona Dermatology Center PCGroup PAC ID 8527951052, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwood@naznew.emadirect.md

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.

• Northern Arizona Dermatology Center PC

  • Dermatology Physician
  • Flagstaff, AZ
  • NPI 1962558569
  Medicare reassignment Care Compare group NPD
• Arlington Dermatology, PLLC

  • Dermatology Physician
  • Arlington, VA
  • NPI 1346839388

  DC

  Medicare reassignment
• Northern Arizona Dermatology Center PC

  • Dermatology Physician
  • Flagstaff, AZ
  • NPI 1477748069
  NPD
• Northern Arizona Dermatology Center PC

  • Dermatology Physician
  • Cottonwood, AZ
  • NPI 1922293349
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1831941780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 N TURQUOISE DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011383",
            "telephone_number": "928-774-5074",
            "fax_number": "928-779-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N TURQUOISE DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011383",
            "telephone_number": "928-774-5074",
            "fax_number": "928-779-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women Clinic of Northern Arizona
• Judith Ming-Hai Wong, M.D., M.P.H.
• Phillip John Wong, O.D.
• Wei Xiang Wong
• Leonard A Wood, PT
• Katie Woodard, HEALTH COACH
• Wyatt D Woodard, MSN, FNP
• Woodlands Oral & Maxillofacial Surgery PC (Mark A. Crane DDS MD)
• Woodlands Village Dentistry PC
• Megan M Woods, B.S

• Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.