Individual provider Active NPI

Douglas Michael Wood, D.O.

  • General Practice Physician
  • Garland, TX
National Provider Identifier
1962828731
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H7258 Issued in TX
Practice address
301 W Avenue D
Garland, TX 75040-7117
Phone
(214) 557-7814
Fax
(972) 947-3057
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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 H7258 TX
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X H7258 TX Primary

Addresses

Primary practice location

301 W Avenue D
Garland, TX 75040-7117

Mailing address

301 W Avenue D
Garland, TX 75040-7117
Phone (214) 557-7814

Other identifiers 1

IdentifierTypeStateIssuer
H7258OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040113000101 TX Practitioner - General PracticePractitioner - Family Practice 8628978871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valora Medical Center LLCGroup PAC ID 4880095983, 13 clinicians

Practice addresses (Care Compare)

825 Desco LN
Grand Prairie, TX 75051-1685
Phone (844) 825-6724

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7258TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valora Medical Center LLC Single Specialty CurrentSince Sep 19, 2022 Accepting new patients
Sheridan Healthcare of Texas PA Single Specialty Past Accepting new patients

Locations

1004 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 677-1300

5601 Executive Dr
Ste 200
Irving, TX 75038
Phone (352) 565-7290

Organizations & group practices 2

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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1962828731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W AVENUE D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750407117",
            "telephone_number": "214-557-7814",
            "fax_number": "972-947-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W AVENUE D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750407117",
            "telephone_number": "214-557-7814",
            "fax_number": "972-947-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DOUGLAS",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7258",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "H7258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H7258",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.