Neil Lipscomb Wood, Jr, MD, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C36813 Issued in CA

Legal business name

NEIL LIPSCOMB WOOD, JR, MD, INC.

Practice address

11985 Heritage Oak PL
#220
Auburn, CA 95603-2461

Phone

(530) 888-6322

Fax

(530) 888-6338

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Neil Lipscomb Wood Jr., MD

Title

President

Phone

(530) 888-6322

Specialties & licenses 1

Addresses

Other names 1

• Neil Lipscomb Wood, Jr., MD, INC Former legal business name

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1841490174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11985 HERITAGE OAK PL",
            "address_2": "#220",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032461",
            "telephone_number": "530-888-6322",
            "fax_number": "530-888-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11985 HERITAGE OAK PL",
            "address_2": "#220",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032461",
            "telephone_number": "530-888-6322",
            "fax_number": "530-888-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL LIPSCOMB WOOD, JR, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "LIPSCOMB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-888-6322",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C36813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neil Lipscomb Wood, Jr., MD, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Neil Lipscomb Wood, Jr., MD, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Aurora Margarita Navarro, MSW
• Susan Jean Navarro, LCSW
• Ayesha Naveed
• Christine Neale
• Neil A Nedley, MD
• Valerie J Neill-Nietsch, OT
• Elizabeth Nelson
• Kacey Nelson, LMFT
• Parvinder Nelson
• Travis K Nelson, PA

• Medical Specialty Clinic/Center in Auburn, CA
• Providers in Auburn, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.