DR. DOUGLAS R WOOD (NPI# 1760465322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760465322 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS R WOOD |
| Credential | PH.D. |
| Practice Address |
5342 Dudley Blvd Mcclellan CA 95652-1012 |
| Mailing Address |
Po Box 867 Folsom CA 95763-0867 |
| Practice Telephone | 9168389663 |
| Practice Fax Number | 9169831682 |
| Mailing Telephone | 9168389663 |
| Mailing Fax Number | 9169831682 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 5164 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497204655 | Douglas Wood | Non-emergency Medical Transport (VAN) | 3020 Reba Dr, Houston, TX 77019-6204 | 2016-09-29 |
| 1285657122 | Douglas R Wood | Dentist | 275 Se Cabot Dr Ste B204, Oak Harbor, WA 98277-3755 | 2006-07-25 |
| 1962828731 | Douglas Michael Wood | Family Medicine | 301 W Avenue D, Garland, TX 75040-7117 | 2014-03-17 |
| 1902106065 | Douglas Erick Wood | Physical Therapy Assistant | 630 N Fodale Ave, Southport, NC 28461-3538 | 2010-10-23 |
| 1902984362 | Douglas E Wood | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-11-02 |
| 1053426528 | Douglas J Wood | Audiologist | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-08-21 |
| 1023051505 | Douglas A Wood | Emergency Medicine | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-06-13 |
| 1538117155 | Douglas Robert Wood | Emergency Medicine | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-05-05 |
| 1821057399 | Douglas Robert Wood Sr. | Optometrist | 2980 Browns Ln, Jonesboro, AR 72401-7237 | 2006-03-22 |
| 1427037654 | Douglas L Wood | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-16 |
| Street Address |
5342 DUDLEY BLVD |
| City | MCCLELLAN |
| State | CA |
| Zip Code | 95652-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127457 | James Michael Ward | Internal Medicine | 5342 Dudley Blvd, Mcclellan Satellite Clinic, Mcclellan, CA 95652-1012 | 2005-10-11 |
| 1376182121 | Elena Lanin | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-12-26 |
| 1538702881 | Tara Ann Miskovich | Psychologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-10-18 |
| 1437622420 | Dominique Talley | Social Worker | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-01-02 |
| 1518489780 | Jane Grabowski | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2017-07-10 |
| 1033528963 | Valerie Christian | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2014-08-05 |
| 1760812275 | Michelle Stephens | Audiologist | 5342 Dudley Blvd, Va Mcclellan Audiology, Mcclellan, CA 95652-1012 | 2013-11-19 |
| 1780950394 | Kathryn Irene Daniels | Internal Medicine | 5342 Dudley Blvd, Mcclellan, CA 95652 | 2012-03-28 |
| 1104196930 | Mae Ruth Doctor | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2012-01-11 |
| 1225314503 | Glenda Fe Jimenez | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1902231897 | Marisa Salas Silva | Social Worker | 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 | 2013-09-10 |
| 1295070290 | Stephanie Ann Bost | Dietitian, Registered | 3401 Beech St., Mcclellan, CA 95652 | 2012-12-01 |
| 1811276025 | Brian C Choi | Dentist | 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 | 2011-08-05 |
| 1154408391 | California Shock Trauma Air Rescue | Ambulance | 4933 Bailey Loop, Mcclellan, CA 95652 | 2006-11-01 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1104910652 | Ann Marie Mullen | Audiologist | 5342 Dudley Blvd., Sacramento, CA 95652 | 2006-10-02 |
| 1831174556 | Mark A Duckett | Dentist | 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 | 2005-12-15 |
| 1073596581 | Jane P Addagatla | Internal Medicine | Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 | 2005-11-29 |
| 1528518321 | Dana Kirkwood Adkins | Social Worker | 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 | 2016-10-05 |
| Find all providers in zip 95652 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702881 | Tara Ann Miskovich | Psychologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-10-18 |
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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.