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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6310 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 743 Spring St Ne, Gainesville, GA 305013715 | 7705342020 | 7705348025 |
| 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 |
| Street Address |
200 W ACADEMY STREET |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on MICHAEL DEOGRACIAS WOOD.
| 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.