DR. GARY LEE WOOD (NPI# 1992709604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992709604 |
Entity Type | Individual |
Full Name | DR. GARY LEE WOOD |
Credential | MD |
Practice Address |
3900 Capital Mall Dr Sw Olympia WA 98502-8654 |
Mailing Address |
19020 33rd Ave W Ste 210 Lynnwood WA 98036-4748 |
Practice Telephone | 3607545858 |
Mailing Telephone | 4255631500 |
Mailing Fax Number | 4255631374 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2018-11-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD60403656 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 537764 | 05 | |
WA | 2030512 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3417 Ensign Rd Ne, Olympia, WA 985065064 | 3604934600 | 3604934603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942670476 | Gary Wood | Specialist | Boulevard Kukulcan L-50, Cancun, Q.ROO 77500 | 2015-09-26 |
1295911220 | Gary Anthony Wood | Nurse Anesthetist, Certified Registered | 1975 Stephanie Court, Auburn, AL 36830 | 2008-01-22 |
1386857464 | Gary Ray Wood | Chiropractor | 175 S. Union Blvd Ste 230, Colorado Springs, CO 80910 | 2007-05-07 |
1538205042 | Gary Joe Wood | Dentist | 3247 S Harvard Ave, Tulsa, OK 74135-4447 | 2007-01-30 |
1518912997 | Gary Lee Wood | Psychologist | 4700 N. Habana Ave., Suite 300, Tampa, FL 33614-7160 | 2006-05-23 |
1750782231 | Gary Lee Wood | Counselor | 1301 Seminole Blvd, Building A, Suite 103, Largo, FL 33770-8173 | 2014-09-15 |
1558698084 | Gary Wood | Pharmacist | 4208 Sw Green Oaks Blvd, Arlington, TX 76017-4111 | 2009-11-04 |
1831359157 | Gary Wood | Day Training/Habilitation Specialist | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2008-06-10 |
1932278470 | Gary D Wood | Social Worker | 4511 Miller Rd, Flint, MI 48507-1107 | 2006-11-07 |
1366554644 | Gary L Wood | Dentist | N2888 State Road 22, Wautoma, WI 54982-5265 | 2006-08-31 |
Street Address |
3900 CAPITAL MALL DR SW |
City | OLYMPIA |
State | WA |
Zip Code | 98502-8654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992325377 | Lindsay Kate Rios | Nurse's Aide | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2020-04-25 |
1629612544 | Assured Surgical Assisting LLC | Registered Nurse | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-11-04 |
1699319897 | Kyle Thompson | Registered Nurse | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-10-30 |
1790337558 | Katharine Conley | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-07-11 |
1144673682 | Daniel Hanson | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-07-20 |
1891164042 | Christopher Robert White | Physical Therapy Assistant | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-09-17 |
1700272028 | Prathyusha Naidu | Internal Medicine | 3900 Capital Mall Dr Sw, Olympia, WA 98502 | 2015-04-13 |
1023411717 | Daniel G Ng | Pharmacist | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-10-08 |
1104246388 | Alta Blanche Kendall | Nurse Practitioner | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-04-25 |
1144644345 | Ashok James Ponniah | Internal Medicine | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
Find all providers in zip 98502 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437263175 | Mihai Florin Iancu | Radiology | 3417 Ensign Road Northeast, Olympia, WA 98506-5075 | 2006-08-19 |
1780664482 | Rodney Shigeo Matsubara | Radiology | 3417 Ensign Road Ne, Olympia, WA 98506-5075 | 2006-01-19 |
1861483182 | Steven James Lengle | Radiology | 4603 33rd Ct Ne, Olympia, WA 98516-1425 | 2005-11-04 |
1619961570 | John Christopher Edwards | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2005-09-07 |
1356340970 | Olympia Radiologists, P.s. | Radiology | 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065 | 2005-07-15 |
1659682722 | Zachary A. Winter | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2010-06-23 |
1235364894 | Tariq Hesham Balawi | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2009-05-26 |
1083827992 | Samuel J. Boynton | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506 | 2007-05-07 |
1396882106 | Chrystel Therese Venturini | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2007-01-31 |
1841350618 | Peter Ping Hu | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-12-11 |
Find all providers in OLYMPIA |
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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.