Timothy C Wood (NPI# 1205814712, PAC ID# 5395788590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1205814712 |
| PAC ID by PECOS | 5395788590 |
| Professional Enrollment ID | I20050609000857 |
| Full Name | Timothy C Wood |
| Address |
328 S Bonaventure Ave Suite 2 Trinidad CO 81082-2086 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 480 Glessner Ave, Mansfield, OH 44903-2056 | ||
| 328 S Bonaventure Ave, Suite 2, Trinidad, CO 81082-2086 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% |
| Street Address |
328 S BONAVENTURE AVE SUITE 2 |
| City | TRINIDAD |
| State | CO |
| Zip | 81082-2086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Agnello | Occupational Therapy | Mariposa Rehabilitation Center Inc | 207 Main St, Trinidad, CO 81082 |
| Karen K Malone | Speech Language Pathologist | Mariposa Rehabilitation Center Inc | 207 Main St, Trinidad, CO 81082 |
| Valerie J Borsa | Internal Medicine | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-2004 | |
| Angela Renee York | Nurse Practitioner | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| James M Glass | Interventional Cardiology | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Elizabeth Catherall | Internal Medicine | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| William J Bufkin | Diagnostic Radiology | 410 Benedicta Ave, Trinidad, CO 81082-2005 | |
| Timothy W Hegeman | Cardiovascular Disease (cardiology) | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Eric Michael Ball | Emergency Medicine | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Kevin L Mcclintock | Emergency Medicine | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Find all physicians in zip 81082 | |||
| City | TRINIDAD |
| Zip Code | 81082 |
| Specialty | DERMATOLOGY |
| City + Specialty | TRINIDAD + DERMATOLOGY |
Please comment or provide details below to improve the information on Timothy C Wood.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.