Active NPI
Tiffany Wood, DO
- Student in an Organized Health Care Education/Training Program
- Miamisburg, OH
National Provider Identifier
1881342962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2115 Leiter Rd
Miamisburg, OH 45342-3600 - Phone
- (937) 384-6800
- Fax
- (937) 384-6938
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | Primary |
Addresses
Primary practice location
2115 Leiter Rd
Miamisburg, OH 45342-3600
Mailing address
320 Stanton Rd Apt 231
Mobile, AL 36617-2449
Phone (727) 204-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230509002342 | OH | Order and Referring Only - Hospitalist | 3274999685 | |
| I20241207000341 | OH | Order and Referring Only - Physical Medicine and Rehabilitation | 3274999685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1881342962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 STANTON RD APT 231",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172449",
"telephone_number": "727-204-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 LEITER RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423600",
"telephone_number": "937-384-6800",
"fax_number": "937-384-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "TIFFANY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.