Individual provider Active NPI

Jonathan Wood, MD

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1942794037
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD473876 Issued in PA
Practice address
304 N Water St
Lancaster, PA 17603-3374
Phone
(717) 299-6372
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD473876 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X MT216329 PA

Addresses

Primary practice location

304 N Water St
Lancaster, PA 17603-3374

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 299-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210828000345 PA Practitioner - Family Practice 7012268345 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT216329PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Aug 5, 2021 Accepting new patients
Union Community Care CurrentSince Aug 5, 2021 Accepting new patients
Union Community Care Current Accepting new patients
Lancaster General Hospital Past Accepting new patients
Union Community Care Past Accepting new patients
Union Community Care Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: jwood223222@direct-lghealth.org
  • Direct secure messaging: jonathan.wood.1@14261.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1942794037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-299-6371",
            "fax_number": "717-325-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-299-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD473876",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT216329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.