Individual provider Active NPI

Stephen T Wood, M.D.

  • Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1912957549
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C7347 Issued in AR
Practice address
3264 N. North Hills Blvd
Fayetteville Surgical Associates PA
Fayetteville, AR 72703-4005
Phone
(479) 521-3300
Fax
(479) 521-4914
NPI assigned
May 12, 2006
Last updated
May 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C7347 AR Primary

Addresses

Primary practice location

3264 N. North Hills Blvd
Fayetteville Surgical Associates PA
Fayetteville, AR 72703-4005

Mailing address

3264 N. North Hills Blvd.
Fayetteville Surgical Associates PA
Fayetteville, AR 72703-4005
Phone (479) 521-3300

Other identifiers 1

IdentifierTypeStateIssuer
123719001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001266 AR Practitioner - General Surgery 8022144377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C7347ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Jan 1, 2020 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System CurrentSince Jan 1, 2020 Accepting new patients

Locations

3 E Appleby Rd
Ste 401
Fayetteville, AR 72703
Phone (479) 404-2500

Interoperability endpoints

  • Direct secure messaging: stephen.wood.p1@direct.fsa.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1912957549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N. NORTH HILLS BLVD.",
            "address_2": "FAYETTEVILLE SURGICAL ASSOCIATES PA",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-521-3300",
            "fax_number": "479-521-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N. NORTH HILLS BLVD",
            "address_2": "FAYETTEVILLE SURGICAL ASSOCIATES PA",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-521-3300",
            "fax_number": "479-521-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C7347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123719001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.