Jeffery Douglas Wood, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000000138 Issued in TN

Practice address

117A Neyland Thompson Sports Ctr
1704 Johnny Majors Drive
Knoxville, TN 37996-0001

Phone

(865) 974-1902

Fax

(865) 974-1259

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891807996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WHIPPETT LN",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166298",
            "telephone_number": "865-974-1902",
            "fax_number": "865-974-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117A NEYLAND THOMPSON SPORTS CTR",
            "address_2": "1704 JOHNNY MAJORS DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-1902",
            "fax_number": "865-974-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEFFERY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Wood
• Georganne G Wood, MA, LMFT
• George Harden Wood, MD
• Hannah Wood
• James Matthew Wood, D.D.S.
• Julia K Wood, M.D.
• Katherine B Wood, DPT
• Kathryn Wood, RBT
• Kendra Otis Wood, MS, CCC-SLP
• Madison Sarah Wood

• Athletic Trainer in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.