Dwight W Wood MD PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301071620 Issued in MI

Legal business name

DWIGHT W WOOD MD PLC

Practice address

428 1St St
Manistee, MI 49660-1595

Phone

(231) 723-6037

NPI assigned

Mar 1, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwight W Wood, MD

Title

Owner

Phone

(231) 845-7373

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Dwight W Wood MD PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dwight W Wood MD PLC

  • Ophthalmology Physician
  • Ludington, MI
  • NPI 1114055829
  NPD tax ID

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1871621771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N ATKINSON DR",
            "address_2": "SUITE 115",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311953",
            "telephone_number": "231-845-7373",
            "fax_number": "231-845-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 1ST ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601595",
            "telephone_number": "231-723-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT W WOOD MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-845-7373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301071620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1805300251",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "17971",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3469260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Anthony Dobrzelewski, RPH
• Renee Dorr, MSN, APRN, FNP-C
• Terry Doxey Jr., RPH
• Emelee Drier, LMSW
• Jessica Jean Duncan, PA-C
• Solomon Bustamante Dy, PT
• Katie J Dye, PA-C
• Kimberley Dysard
• Ecs Lakeshore PC
• Edward J. Loftus Ma LLP

• Ophthalmology Physician in Manistee, MI
• Providers in Manistee, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.