Individual provider Active NPI

Matthew Wood, D.O

  • Emergency Medicine Physician
  • Lawton, OK
National Provider Identifier
1972918720
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5841 Issued in OK
Practice address
3401 W Gore Blvd
Attn Em Residency Coordinator
Lawton, OK 73505-6332
Phone
(580) 585-5548
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5841 OK Primary

Addresses

Primary practice location

3401 W Gore Blvd
Attn Em Residency Coordinator
Lawton, OK 73505-6332

Mailing address

3401 W Gore Blvd
Attn Em Residency Coordinator
Lawton, OK 73505-6332
Phone (580) 585-5548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20151210000651 OK Practitioner - Emergency Medicine 4880995182 Reassigns benefits to 5 organizations
I20170918001846 TX Practitioner - Emergency Medicine 4880995182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5841OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Jul 19, 2019 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc CurrentSince Aug 9, 2015 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Dec 20, 2016 Accepting new patients
Lawton Indian Hospital CurrentSince Aug 21, 2017 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Aug 9, 2015 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Purcell Municipal Hospital Past Accepting new patients

Locations

102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

3333 Territory Ln
El Reno, OK 73036
Phone (405) 252-3560

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

201 S Sara Rd
Mustang, OK 73064
Phone (405) 376-4505

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

13401 N Western Ave
Oklahoma City, OK 73114
Phone (405) 252-3400

13500 S Tulsa Dr
Oklahoma City, OK 73170
Phone (405) 713-2696

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Interoperability endpoints

  • Direct secure messaging: mwood161859@direct-ehr-ssmhc.com

Organizations & group practices 11

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 6

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1972918720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "address_2": "ATTN EM RESIDENCY COORDINATOR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-585-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "address_2": "ATTN EM RESIDENCY COORDINATOR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-585-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MATTHEW",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.