DR. MARK LYNDON WOOD (NPI# 1134172372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134172372 |
| Entity Type | Individual |
| Full Name | DR. MARK LYNDON WOOD |
| Credential | MD |
| Practice Address |
3009 New Bern Ave Raleigh NC 27610 |
| Practice Telephone | 9192325020 |
| Practice Fax Number | 9192325021 |
| Mailing Telephone | 9192325020 |
| Mailing Fax Number | 9192325021 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 200001448 | NC | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
200001448 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891371CJ | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770870214 | Mark Adam Wood IIi | Rehabilitation Practitioner | 15723 Parkhouse Dr Unit 7, Fontana, CA 92336-6516 | 2011-07-05 |
| 1558671065 | Mark Christopher Wood | Dentist | 1000 W Carson St # 19, Torrance, CA 90502-2004 | 2010-10-18 |
| 1639260953 | Mark A Wood | Chiropractor | 506 E Broad St, Raymond, IL 62560-5202 | 2006-09-28 |
| 1760589733 | Mark W. Wood | Otolaryngology | 3824 S Boulevard Ste 160, Edmond, OK 73013 | 2006-09-20 |
| 1427152958 | Mark Gregory Wood | Internal Medicine | 106 Oak St, Thomasville, GA 31792 | 2006-09-13 |
| 1992703102 | Mark David Wood | Dentist | 1200 W South Boulder Rd, Suite 103, Lafayette, CO 80026-3546 | 2005-07-12 |
| 1083004469 | Mark Wood | Pharmacist | 601 N Milwaukee St, Waterford, WI 53185-4405 | 2015-01-23 |
| 1770676090 | Mark S Wood | General Practice | 598 W 11th Ave, Lumberton, MS 39455 | 2006-09-30 |
| 1871504761 | Mark Wood | Dentist | 162 Croton Ave, Ossining, NY 10562-4430 | 2006-08-10 |
| 1578570529 | Mark Goff Wood | Ophthalmology | 7075 N Sharon Ave, Fresno, CA 93720-3329 | 2006-08-02 |
| Street Address |
3009 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087133 | Julian K Smith | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2005-07-18 |
| 1740895515 | Joshua Samuel Turner | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2020-09-09 |
| 1750919734 | Kyle Reynolds | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2020-03-27 |
| 1417512690 | Wakemed Specialists Group LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2019-05-03 |
| 1588229777 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2019-05-03 |
| 1376023234 | Ronald Ross James Romanelli | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2018-08-20 |
| 1245741149 | Taylor Winn Green | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2017-10-18 |
| 1912426636 | Elizabeth Anne Mccool | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2017-09-13 |
| 1891172268 | Summer Reavis | Occupational Therapist | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2015-05-05 |
| 1447667209 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2014-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447283619 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 5620 Six Forks Rd, Suite 104, Raleigh, NC 27609-8619 | 2006-07-09 |
| 1477736155 | Impact Orthopaedics, Pa | Orthopaedic Surgery | 3320 Wake Forest Rd, Suite 120, Raleigh, NC 27609-7300 | 2007-12-17 |
| 1871776807 | Robert Glen Jones | Orthopaedic Surgery | 3801 Wake Forest Rd Ste 220, Raleigh, NC 27609-6864 | 2007-12-13 |
| 1417948365 | Lee Harold Diehl | Orthopaedic Surgery | 1108 Dresser Ct, Raleigh, NC 27609-7328 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902241805 | Ian Al'khafaji | Orthopaedic Surgery | 2719 Reynolda Rd, Winston Salem, NC 27106 | 2013-05-06 |
| 1821354812 | Sunny Patel | Orthopaedic Surgery | 1234 Huffman Mill Rd Dept Of, Burlington, NC 27215 | 2012-04-04 |
| 1174763981 | Brett Andrew Fritsch | Orthopaedic Surgery | Duke Sports Medicine Ctr, 300 Frank Bassett Drive, Durham, NC 27710-0001 | 2009-03-06 |
| 1033366885 | Scotland Orthopedics, Pa | Orthopaedic Surgery | 410 D South Jones Street, Pembroke, NC 28372 | 2008-08-23 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1750542411 | Abby B. Maxwell | Orthopaedic Surgery | 3 Mcdowell St, Suite B, Asheville, NC 28801-4103 | 2008-06-24 |
| 1518130418 | Jeffrey Tweed Spang | Orthopaedic Surgery | University of North Carolina Hospital, Cb# 7055, Chapel Hill, NC 27599-7055 | 2008-04-11 |
| 1184746810 | Kevin Leo Krasinski | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2007-04-04 |
| 1285748970 | Statesville Hma Physician Management, Inc | Orthopaedic Surgery | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4357 | 2006-08-18 |
| 1467461566 | Timothy Ned Taft | Orthopaedic Surgery | 3154 Bioinformatics Bldg, Cb # 7055 Unc, Chapel Hill, NC 27599-0001 | 2006-08-07 |
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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.