CHARLES WOOD (NPI# 1780828046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780828046 |
| Entity Type | Individual |
| Full Name | CHARLES WOOD |
| Practice Address |
4020 N Roxboro St Durham NC 27704-2120 |
| Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
| Practice Telephone | 9196205333 |
| Mailing Telephone | 9196204918 |
| Mailing Fax Number | 9196204921 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2012-00793 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730246828 | Charles Douglas Wood | Surgery | 501 Yuma Dr, Broken Arrow, OK 74011-7216 | 2007-01-02 |
| 1861574097 | Charles Senter Wood Jr. | Dentist | 715 Calvin Avery Dr, West Memphis, AR 72301 | 2006-10-19 |
| 1871608497 | Charles David Wood | Orthopaedic Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 | 2006-08-21 |
| 1588686067 | Charles G Wood | Dentist | 1213 Broad Ave Ste 1, Gulfport, MS 39501-2475 | 2006-07-24 |
| 1104845049 | Charles C Wood | Physician Assistant | 2636 Loudoun St, Virginia Beach, VA 23456-2438 | 2006-07-19 |
| 1225024797 | Charles Michael Wood | Optometrist | 102 N 6th St, Rockport, IN 47635-1460 | 2005-09-21 |
| 1528064144 | Charles Owen Wood | Neurological Surgery | 20 Burdick Expy. W., Minot, ND 58701-4493 | 2005-06-28 |
| 1295738169 | Charles Conley Wood | Dentist | 620 Montana Ave, Santa Monica, CA 90403-1402 | 2005-05-24 |
| 1356834766 | Charles Steven Wood Jr. | Nurse Practitioner | 307 S 13th Ave, Laurel, MS 39440-4342 | 2018-06-11 |
| 1962525956 | Charles John Wood | Social Worker | 1212 N California St, Stockton, CA 95202-1552 | 2007-04-06 |
| Street Address |
4020 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770519134 | Beth Clay Herold | Pediatrics | 4020 N Roxboro St, Durham, NC 27704-2120 | 2006-06-25 |
| 1437766029 | Hayley Elizabeth Smith | Social Worker | 4020 N Roxboro St, Durham, NC 27704-2120 | 2020-09-28 |
| 1598226458 | Connor Anders Moseley | Student in an Organized Health Care Education/Training Program | 4020 N Roxboro St, Durham, NC 27704-2120 | 2019-03-25 |
| 1689131039 | Alissa Lee Castaneda | Social Worker | 4020 N Roxboro St, Durham, NC 27704-2120 | 2019-02-21 |
| 1285102178 | Akelah Woody | Registered Nurse | 4020 N Roxboro St, Durham, NC 27704-2120 | 2018-11-08 |
| 1699205054 | Amanda Marie Zaski | Social Worker | 4020 N Roxboro St, Durham, NC 27704-2120 | 2017-06-18 |
| 1215489406 | Maya Shapiro Miller Burr | Social Worker | 4020 N Roxboro St, Durham, NC 27704-2120 | 2016-11-04 |
| 1629432273 | Amadea Kendra Britton | Student in an Organized Health Care Education/Training Program | 4020 N Roxboro St, Durham, NC 27704-2120 | 2016-04-10 |
| 1770943474 | Chandler Moeller Easterhoff | Nurse Practitioner | 4020 N Roxboro St, Durham, NC 27704-2120 | 2016-02-24 |
| 1770966764 | Andrea Szematowicz Hartzell | Physical Therapist | 4020 N Roxboro St, Durham, NC 27704-2120 | 2015-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609294743 | Joanna Maria Robles | Pediatrics | 382 Hanes Building Dumc Box 102382, Durham, NC 27710 | 2014-04-05 |
| 1437577814 | Eunee Kathleen Park | Pediatrics | 4806 Carmen Ln, Durham, NC 27707-9080 | 2014-04-02 |
| 1821416652 | Lashawndra Sly Walker | Pediatrics | 2424 Hock Plaza Suite 504, Durham, NC 27710-1005 | 2014-03-29 |
| 1316385982 | Lorven Michael Edralin | Pediatrics | 1821 Hillandale Rd Ste 24a, Durham, NC 27705-2671 | 2013-06-05 |
| 1245597178 | Ibukunoluwa Christine Akinboyo | Pediatrics | 2301 Erwin Rd # Dumc3499, Durham, NC 27705 | 2012-04-17 |
| 1851667380 | Tavia Denise Clark | Pediatrics | 7 Kerr Ct, Durham, NC 27713-8919 | 2012-03-29 |
| 1295021483 | Camille Nina Immanuel | Pediatrics | 4100 Cobscook Dr, Durham, NC 27707-5706 | 2011-06-26 |
| 1922391473 | Stephanie Permar Schwartz | Pediatrics | 5260y Duke N, Dumc Box 3046, Durham, NC 27710-0001 | 2011-05-17 |
| 1700100575 | Yeh-chung Chang | Pediatrics | 2301 Erwin Road Dumc 3499, Durham, NC 27710-4319 | 2010-03-22 |
| 1790018000 | Muhammad Shahzad Zafar | Pediatrics | Dumc 102350, Duke Medical Center, Durham, NC 27710-0001 | 2009-09-18 |
| Find all providers in DURHAM | ||||
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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.