NPIMap

Organization Active NPI

Neil Lipscomb Wood, Jr, MD, Inc.

  • Medical Specialty Clinic/Center
  • Auburn, CA
National Provider Identifier
1841490174
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Neil Lipscomb Wood Jr., MDNPI 1265542757
Title
President
Phone
(530) 888-6322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C36813 CA Primary

Addresses

Primary practice location

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

Mailing address

11985 Heritage Oak PL
#220
Auburn, CA 95603-2461
Phone (530) 888-6322

Other names 1

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

National Provider Directory

National Provider Directory

Locations

11985 Heritage Oak Pl
Ste 220
Auburn, CA 95603
Phone (530) 888-6322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • 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.