JERRY D WOOD (NPI# 1922294032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922294032 |
Entity Type | Organization |
Organization Name | JERRY D WOOD |
Other Organization Name | JERRY WOOD, MD |
Practice Address |
219 North Eastwood Ave Livingston TX 77351 |
Practice Telephone | 9363277147 |
Practice Fax Number | 9363276234 |
Mailing Telephone | 9363277147 |
Mailing Fax Number | 9363276234 |
Enumeration Date | 2007-09-21 |
Last Update Date | 2011-06-08 |
Authorized Official Name | DR. JERRY D WOOD (OWNER) |
Authorized Official Telephone | 9363277147 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | G0304 | TX | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUECROSS BLUE SHIELD | 00N68X | 01 |
TX | 093953001 | 05 |
Other Name | Type Code |
---|---|
Jerry Wood, MD | Doing Business As Name - Organization |
Street Address |
219 NORTH EASTWOOD AVE |
City | LIVINGSTON |
State | TX |
Zip Code | 77351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
Find all providers in zip 77351 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
1508260464 | Tiffani Valderez | Specialist | 1105 W Church St, Livingston, TX 77351-3016 | 2014-10-21 |
1639430515 | Pm Pediatrics of Livingston, Pllc | Specialist | 577 W Mount Pleasant Avenue, Livingston, NJ 07039 | 2012-06-06 |
1447534193 | Marcia B Podvey | Specialist | 154 S Livingston Ave Ste 204, Livingston, NJ 07039-3017 | 2011-09-29 |
1760664148 | Linda K Roseman | Specialist | 246 Rainbow Dr # 14666, Livingston, TX 77399-2046 | 2007-11-28 |
1710189741 | Hema Dholakia | Specialist | 2 Fordham Rd, Livingston, NJ 07039-5507 | 2007-06-01 |
1801954425 | Lazar Fruchter | Specialist | 641 Knickerbocker Rd, Livingston, NY 12758 | 2006-12-05 |
1215022777 | Joseph Patrick Fodero Sr. | Specialist | 239 West Northfield Rd., Livingston, NJ 07039 | 2006-10-03 |
1780611509 | Ofelia G Ortiz | Specialist | 1140 Main St, Livingston, CA 95334 | 2006-06-27 |
1942243829 | Edward B Decker | Specialist | 200 So. Orange Ave, Suite 209, Livingston, NJ 07039 | 2006-06-14 |
Find all providers in LIVINGSTON |
City | LIVINGSTON |
Zip Code | 77351 |
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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.