DR. TYLER THOMAS WOOD (NPI# 1962994962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962994962 |
| Entity Type | Individual |
| Full Name | DR. TYLER THOMAS WOOD |
| Credential | DO |
| Practice Address |
98 Poplar Street, Blackfoot, Id 83221 Blackfoot ID 83221 |
| Mailing Address |
496 N Wilderness Dr Alpine UT 84004-1401 |
| Practice Telephone | 2087822950 |
| Practice Fax Number | 2087859682 |
| Mailing Telephone | 8013611667 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | ID | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831641018 | Tyler Wood | Specialist/Technologist | 901 S Goodwin Ave, Urbana, IL 61801-3840 | 2016-11-03 |
| 1144747429 | Tyler Wood | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-08-28 |
| 1154869592 | Tyler Wood | Pharmacist | 2824 Scottsville Rd, Bowling Green, KY 42104-6343 | 2017-02-06 |
| 1073814919 | Tyler Scott Wood | Chiropractor | 525 E 100 S, 420, Salt Lake City, UT 84102-4210 | 2010-11-09 |
| 1487752689 | Tyler H Wood | Pharmacist | 18 Hwy 162 So, Alma, AR 72921-0168 | 2006-09-20 |
| Street Address |
98 POPLAR STREET, BLACKFOOT, ID 83221 |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| 1083809289 | Renal Treatment Centers West Inc | Clinic/Center | 1491 Parkway Drive, Blackfoot, ID 83221 | 2007-09-11 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083177935 | Jason Lee Harmon | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-04-08 |
| 1255828042 | Mikelle B Rogers | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-04-17 |
| 1053846246 | Amie Woody | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2017-04-25 |
| 1134579576 | Mark Lupton | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, ID 83221 | 2016-06-16 |
| 1851740104 | Nasim Amjadi Begvand | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733694 | Susan L Boone | Student in an Organized Health Care Education/Training Program | 8506 W Donnybrook Dr, Boise, ID 83709-0606 | 2020-09-02 |
| 1003434283 | Luisa Broden | Student in an Organized Health Care Education/Training Program | 902 N Almon St Apt 3, Moscow, ID 83843-8544 | 2020-07-14 |
| 1255959003 | Daniel Isaiah Zebedeo | Student in an Organized Health Care Education/Training Program | 430 E Tiger Ave, Post Falls, ID 83854-6649 | 2020-07-08 |
| 1982229944 | Clayton Kline | Student in an Organized Health Care Education/Training Program | 881 E 3900 N, Buhl, ID 83316-5929 | 2020-06-15 |
| 1013538883 | Corbin Curtis Wood | Student in an Organized Health Care Education/Training Program | 355 W 4650 N, Rexburg, ID 83440-3206 | 2020-05-02 |
| 1407476120 | Remington Sloan Farley | Student in an Organized Health Care Education/Training Program | 4015 E Florence Dr Apt 101, Meridian, ID 83642-6185 | 2020-04-22 |
| 1184253585 | Tate Coltan Staker | Student in an Organized Health Care Education/Training Program | 1322 S 2nd E, Rexburg, ID 83440-3824 | 2020-04-07 |
| 1730715855 | Madison Hiatt | Student in an Organized Health Care Education/Training Program | 1209 W Targee St, Boise, ID 83706-4565 | 2020-03-20 |
| 1053946202 | Kaitlyn Casper | Student in an Organized Health Care Education/Training Program | 267 W Arrowrock Ln, Boise, ID 83706-4802 | 2020-03-09 |
| 1558996660 | Erik Malm | Student in an Organized Health Care Education/Training Program | 850 E Franklin Rd Ste 402, Meridian, ID 83642-8917 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.