Individual provider Active NPI

William Anthony Wood, M.D.

  • Otolaryngology Physician
  • Scranton, PA
National Provider Identifier
1962667477
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD477476 Issued in PA
Practice address
3 W Olive St
Scranton, PA 18508-2572
Phone
(570) 558-2100
Fax
(570) 558-2101
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 042.0012429 VT
Otolaryngology Physician 207Y00000X C1-0008988 DE
Otolaryngology Physician 207Y00000X 19770 NH
Otolaryngic Allergy Physician 207YX0602X 042.0012429 VT
Otolaryngology Physician 207Y00000X MD477476 PA Primary

Addresses

Primary practice location

3 W Olive St
Scranton, PA 18508-2572

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 2

IdentifierTypeStateIssuer
3119344MedicaidNH
NH19770OtherNHNH LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wwood@co.gwaydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150724009937 ME Practitioner - Otolaryngology 3577609577 Reassigns benefits to 1 organization
I20220718000010 PA Practitioner - Otolaryngology 3577609577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians

Practice addresses (Care Compare)

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

23 N St
Presque Isle, ME 04769-2291

Hospital & facility affiliations

  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • Cary Medical Center Hospital, Caribou, ME, CCN 200031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008988DEMDOtolaryngology Physician
042.0012429VTMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
The Aroostook Medical Center CurrentSince Jan 29, 2023 Accepting new patients
The Aroostook Medical Center CurrentSince Jan 29, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jul 6, 2022 Accepting new patients
Bayhealth Medical Center, Inc Otolaryngology Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 12
Presque Isle, ME 04769
Phone (207) 760-8100

100 N Academy Ave
Danville, PA 17822

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1962667477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-558-2100",
            "fax_number": "570-558-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VT",
            "license": "042.0012429",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C1-0008988",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "19770",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "VT",
            "license": "042.0012429",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD477476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119344",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE",
            "identifier": "NH19770",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwood@co.gwaydirect.com",
            "affiliation": "N",
            "address_1": "194 Pleasant St Ste 2",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033012952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.