Individual provider Active NPI

Allison L Evans-Wood, D.O.

  • Family Medicine Physician
  • Cumberland, MD
National Provider Identifier
1841298809
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0056080 Issued in MD
Practice address
17204 McMullen Hwy SW
Cumberland, MD 21502-6214
Phone
(301) 729-0060
Fax
(301) 729-3100
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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 H0056080 MD Primary

Addresses

Primary practice location

17204 McMullen Hwy SW
Cumberland, MD 21502-6214

Mailing address

17204 McMullen Hwy SW
Cumberland, MD 21502-6214
Phone (301) 729-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100519000161 MD Practitioner - Family Practice 4082743737

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr a Evans-Wood LLC CurrentSince Jan 15, 2011 Accepting new patients
DRS Wood and Evans-Wood Family Medicine Current Accepting new patients
DRS Wood and Evans-Wood Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

17204 McMullen Hwy SW
Cumberland, MD 21502
Phone (301) 709-5101

Interoperability endpoints

  • Direct secure messaging: heathernicolefeuillet@mhp-md.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1841298809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17204 MCMULLEN HWY SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026214",
            "telephone_number": "301-729-0060",
            "fax_number": "301-729-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17204 MCMULLEN HWY SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026214",
            "telephone_number": "301-729-0060",
            "fax_number": "301-729-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-WOOD",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0056080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.