Active NPI
Stephen G Wood, M.D.
- Internal Medicine Physician
- Presque Isle, ME
National Provider Identifier
1952338816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9830
- Practice address
- 136 Academy Street
Presque Isle, ME 04769-3102 - Phone
- (207) 764-3917
- Fax
- (207) 764-2499
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9830 | ME | Primary |
Addresses
Primary practice location
136 Academy Street
Presque Isle, ME 04769-3102
Mailing address
136 Academy Street
Presque Isle, ME 04769-3102
Phone (207) 764-3917
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114790000 | Medicaid | ME | |
| 005228 | Other | ME | ANTHEM BC BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9830 | ME | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1952338816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 ACADEMY STREET",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693102",
"telephone_number": "207-764-3917",
"fax_number": "207-764-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 ACADEMY STREET",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693102",
"telephone_number": "207-764-3917",
"fax_number": "207-764-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "STEPHEN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "9830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114790000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "005228",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.