NPIMap

Individual provider Active NPI

Elizabeth Dueitt Wood, M.D.

  • Internal Medicine Physician
  • Daphne, AL
National Provider Identifier
1922280528
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30208 Issued in AL
Practice address
7101 Highway 90 Ste 104
Daphne, AL 36526-9574
Phone
(251) 435-1200
NPI assigned
Dec 5, 2007
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 30208 AL Primary

Addresses

Primary practice location

7101 Highway 90 Ste 104
Daphne, AL 36526-9574

Mailing address

7101 Highway 90 Ste 104
Daphne, AL 36526-9574
Phone (251) 435-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000106 AL Practitioner - Internal Medicine 8628193067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians
Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians

Practice addresses (Care Compare)

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1416

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

188 Hospital Dr
Suite 402
Fairhope, AL 36532-2018
Phone (251) 279-1245

5 Mobile Infirmary Cir
Suite G805
Mobile, AL 36607-3513
Phone (251) 435-6590

831 C Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 666-4949

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Internal Medicine CurrentSince Jan 29, 2022 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Internal Medicine CurrentSince Jul 5, 2010 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jul 5, 2010 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jan 29, 2022 Accepting new patients

Locations

188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245

8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Interoperability endpoints

  • Direct secure messaging: ewood16387@directinfirmaryhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1922280528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 HIGHWAY 90 STE 104",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269574",
            "telephone_number": "251-435-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 HIGHWAY 90 STE 104",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269574",
            "telephone_number": "251-435-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELIZABETH",
        "middle_name": "DUEITT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.