JERRY D WOOD


Address: 219 North Eastwood Ave, Livingston, TX 77351
Phone: 9363277147

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist G0304 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUECROSS BLUE SHIELD 00N68X 01
TX 093953001 05

Other Provider/Organization Names

Other Name Type Code
Jerry Wood, MD Doing Business As Name - Organization

Office Location

Street Address 219 NORTH EASTWOOD AVE
City LIVINGSTON
State TX
Zip Code 77351

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LIVINGSTON
Zip Code 77351

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Dataset Information

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.

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