Active NPI
Richard E. Wood, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dallas, TX
National Provider Identifier
1902840903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- D6350
- Practice address
- 3600 Gaston Ave
Suite 404
Dallas, TX 75246-1800 - Phone
- (214) 827-3890
- Fax
- (214) 823-9310
- NPI assigned
- Jun 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D6350 | TX | Primary |
Addresses
Primary practice location
3600 Gaston Ave
Suite 404
Dallas, TX 75246-1800
Mailing address
3600 Gaston Ave
Suite 404
Dallas, TX 75246-1800
Phone (214) 827-3890
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034472302 | Medicaid | TX | |
| 65759869 | Other | NM | NM MEDICAID |
| 034472304 | Medicaid | TX | |
| 8H3702 | Other | TX | BCBS |
| 8AA834 | Other | TX | BCBSTX |
| 034472303 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1902840903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 404",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-827-3890",
"fax_number": "214-823-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 404",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-827-3890",
"fax_number": "214-823-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "RICHARD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "D6350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034472302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "65759869",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034472304",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8H3702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8AA834",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034472303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.