BRENNAN P WOOD (NPI# 1083615611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083615611 |
| Entity Type | Individual |
| Full Name | BRENNAN P WOOD |
| Credential | MD |
| Practice Address |
2406 Lighthouse Manor Dr Gainesville GA 30501-7401 |
| Practice Telephone | 7705364352 |
| Practice Fax Number | 7705328165 |
| Mailing Telephone | 7705364352 |
| Mailing Fax Number | 7705328165 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2008-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 050071 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 128458220A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| Street Address |
2406 LIGHTHOUSE MANOR DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045048 | Allen P Butler | Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2005-07-07 |
| 1306406574 | Mary Elizabeth Byrd | Audiologist | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2019-06-19 |
| 1376900563 | Courtney Vaughan | Physician Assistant | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2016-01-20 |
| 1093054769 | Amy Reeder Britt | Audiologist | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2013-01-31 |
| 1194011437 | Robert M Baskin | Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2011-06-24 |
| 1407188659 | Limestone Surgery Center LLC | Clinic/Center | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2010-02-12 |
| 1780858316 | Julie Stephens Jackson | Audiologist | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2008-04-15 |
| 1437217734 | Northeast Georgia Otolaryngology | Specialist | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2006-12-05 |
| 1336212521 | Paul H Garlich | Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2006-11-16 |
| 1457348120 | Leslie Andrew Wilkerson | Obstetrics & Gynecology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2005-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497194823 | Michael Alan Brodt | Otolaryngology | 1345 Center Dr # M2-228, Gainesville, FL 32610-0264 | 2013-06-19 |
| 1366735912 | Joseph Mastin | Otolaryngology | University of Florida At Shands, Department of Otolaryngology 1600 Sw Archer Road M2-228, Gainesville, FL 32610-0001 | 2011-05-16 |
| 1295024339 | Deepa Danan | Otolaryngology | 1600 Sw Archer Rd #100264, Gainesville, FL 32610-0264 | 2011-03-29 |
| 1013153758 | Lawrence L Durisch Jr. | Otolaryngology | 91 Overlook Dr, Gainesville, GA 30506-1767 | 2008-12-31 |
| 1669625422 | Perry Albert Foote Jr. | Otolaryngology | 9325 Sw 41st Ln, Gainesville, FL 32608-4169 | 2008-10-24 |
| 1770787343 | Garrett Alan Hauptman | Otolaryngology | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605 | 2007-06-14 |
| 1841492832 | Barry Skobel | Otolaryngology | 8819 Sw 74th Ave, Gainesville, FL 32608-9817 | 2007-06-03 |
| 1841413408 | Jin Soo Lim | Otolaryngology | 7001 Heritage Village Plz Ste 170, Gainesville, VA 20155 | 2007-04-11 |
| 1144394362 | Gainesville Otolaryngology Grp | Otolaryngology | 6821 Nw 11 Pl, Gainesville, FL 32605 | 2006-11-20 |
| 1871581140 | Jeremy Seth Melker | Otolaryngology | 7135 Nw 11th Pl, Suit Ea, Gainesville, FL 32605 | 2005-10-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.