MICHAEL DEOGRACIAS WOOD


Address: 200 W Academy Street, Gainesville, GA 30501
Phone: 7702828820

MICHAEL DEOGRACIAS WOOD (NPI# 1093958795) 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) 1093958795
Entity Type Individual
Full Name MICHAEL DEOGRACIAS WOOD
Credential PA-C
Practice Address 200 W Academy Street
Gainesville
GA 30501
Mailing Address Po Box 742616
Atlanta
GA 30374-2616
Practice Telephone 7702828820
Mailing Telephone 7702198420
Enumeration Date 2009-04-09
Last Update Date 2020-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
6310 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
743 Spring St Ne, Gainesville, GA 305013715 7705342020 7705348025

Other Providers MICHAEL WOOD

NPI Name Taxonomy Address Enumeration
1689298721 Michael Wood Physician Assistant 10360 Sw 51st Ln, Gainesville, FL 32608-4380 2020-06-04
1033568019 Michael Wood Psychologist 502 N Electric Ave Apt D, Alhambra, CA 91801-2045 2016-06-09
1053694455 Michael Andrew Wood Pharmacist 114 Holly Hill Dr, Richmond, KY 40475-8640 2011-09-21
1700021854 Michael Brett Wood Dentist 5143 6th Ave S, Birmingham, AL 35212-3519 2008-12-03
1164621819 Michael Clark Wood Physical Therapist 643 W 700 N, Suite C, Lindon, UT 84042-1361 2007-07-13
1750592945 Michael Lee Wood Counselor 3221 S 13th St, Lincoln, NE 68502-4517 2007-05-27
1407067564 Michael G. Wood Dentist 211 Innsdale Ter, Clovis, NM 88101-3061 2007-05-24
1831258870 Michael Wayne Wood Chiropractor 1441 Ohio Ave N, Live Oak, FL 32064-4817 2006-12-06
1740374032 Michael W Wood Specialist 260 Redtail Rd, Orchard Park, NY 14217 2006-10-03
1740222694 Michael Andrew Wood Podiatrist 10528 S Ewing Ave, Chicago, IL 60617-6219 2006-06-12

Office Location

Street Address 200 W ACADEMY STREET
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134101116 Richard C Cory Radiology 200 W Academy Street, Gainesville, GA 30501 2005-11-16
1922443183 Stuart Joseph Deaderick Radiology 200 W Academy Street, Gainesville, GA 30501 2013-05-01
1891089272 Joseph Paul Whitlock Internal Medicine 200 W Academy Street, Gainesville, GA 30501 2011-06-03
1922319599 Bart W Kimbrell Radiology 200 W Academy Street, Gainesville, GA 30501 2010-06-28
1063533149 Ajay Kumar Ravi Radiology 200 W Academy Street, Gainesville, GA 30501 2007-04-03
1760539175 Christa Lee Rush Physician Assistant 200 W Academy Street, Gainesville, GA 30501 2007-01-05
1245399575 Henry A Woods Jr. Radiology 200 W Academy Street, Gainesville, GA 30501 2006-12-06
1205924537 Robert Jay Balotin Radiology 200 W Academy Street, Gainesville, GA 30501 2006-10-11
1225054083 Matthew Lauer Scott Radiology 200 W Academy Street, Gainesville, GA 30501 2006-07-14
1063447902 Kimberely J Windham-cope Radiology 200 W Academy Street, Gainesville, GA 30501 2006-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316417181 Elizabeth H Yun Physician Assistant 7500 Iron Bar Ln Ste 215, Gainesville, VA 20155-3612 2018-12-04
1558666784 Yanira Serralta Physician Assistant 4410 W Newberry Rd Ste 3, Gainesville, FL 32607-5200 2011-01-19
1912054578 David A. Kireta Physician Assistant 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 2007-01-05
1306911375 North Florida Neurosurgery Physician Assistant 6510 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4245 2006-11-22
1366530610 Andrew F Roush Physician Assistant 200 Academy Street, Gainesville, GA 30501 2006-10-11
1003907445 William R Wright Physician Assistant 4343 W. Newberry Road, Suite 13, Gainesville, FL 32607 2006-09-28
1235237165 Elizabeth Courtney Wilhem Physician Assistant 4741 Nw 8th Ave Ste C, Gainesville, FL 32605-5511 2006-09-21
1265445324 Joy Steinkraus Physician Assistant 743 Spring Street Ne, Gainesville, GEORGIA 30501 2006-08-13
1225053572 Julie Ann Hopper Physician Assistant 2435 Old Cornelia Hwy, Gainesville, GA 30507-7854 2006-07-13
1053346296 Audrey B Gibson Physician Assistant 961 Smoky Mountain Springs Lane Ne, Ste A, Gainesville, GA 30501 2006-07-12
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Competitor

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City GAINESVILLE
Zip Code 30501

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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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