Active NPI
William Joseph Wood Jr., MD
- Surgical Oncology Physician
- Portland, OR
National Provider Identifier
1881752293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- MD15183
- Practice address
- 185 NE 102ND Ave
Portland, OR 97220-4169 - Phone
- (503) 253-8490
- Fax
- (503) 253-8497
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD15183 | OR | |
| Surgical Oncology Physician | 2086X0206X | MD15183 | OR | Primary |
Addresses
Primary practice location
185 NE 102ND Ave
Portland, OR 97220-4169
Mailing address
PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154112 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Endocrine Clinic PC | Past | Accepting new patients | |
| Portland Surgical Oncology, PC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Portland, OR
- NPI 1154327658
-
- Endocrinology, Diabetes & Metabolism Physician
- Portland, OR
- NPI 1255367884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1881752293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27340",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850617340",
"telephone_number": "602-943-9200",
"fax_number": "602-216-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204169",
"telephone_number": "503-253-8490",
"fax_number": "503-253-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD15183",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "OR",
"license": "MD15183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154112",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.