MIRANDA DAWN WOOD (NPI# 1184751745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184751745 |
| Entity Type | Individual |
| Full Name | MIRANDA DAWN WOOD |
| Credential | PA |
| Practice Address |
1222 Trotwood Ave Suite 108 Columbia TN 38401-6436 |
| Mailing Address |
854 W James Campbell Blvd Suite 303 Columbia TN 38401-4659 |
| Practice Telephone | 9315404140 |
| Practice Fax Number | 9315404142 |
| Mailing Telephone | 9315404140 |
| Mailing Fax Number | 9315404143 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1592 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1505712 | 05 | |
| TN | 3710089 | 05 | |
| BCBST | 4191519 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670336 | Miranda Wood | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2019-07-09 |
| 1699275982 | Miranda Wood | Student in an Organized Health Care Education/Training Program | 802 S Jackson Ave Ste 505, Tulsa, OK 74127-9060 | 2018-02-13 |
| 1942635677 | Miranda Wood | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2013-09-12 |
| Street Address |
1222 TROTWOOD AVE SUITE 108 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144245 | Mark A Cobb | Neurological Surgery | 1222 Trotwood Ave, Suite 302, Columbia, TN 38401-6436 | 2005-06-16 |
| 1548751944 | Pamela D Edmundson | Community Health Worker | 1222 Trotwood Ave, Columbia, TN 38401-6436 | 2018-05-22 |
| 1316390685 | Mid-south Surgeons, Pllc | Surgery | 1222 Trotwood Ave, Suite 211, Columbia, TN 38401-6436 | 2016-07-21 |
| 1285004085 | Jason L Cunningham | Nurse Practitioner | 1222 Trotwood Ave, Suite 101, Columbia, TN 38401-6436 | 2015-10-06 |
| 1265809305 | Lindsey Gail Chapman | Nurse Practitioner | 1222 Trotwood Ave, Suite 601, Columbia, TN 38401-6436 | 2015-08-24 |
| 1629465133 | Leslie Mcbroom | Nurse Practitioner | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6436 | 2015-04-22 |
| 1619397957 | Nilay B Patel | Family Medicine | 1222 Trotwood Ave, Suite 603, Columbia, TN 38401-6436 | 2014-04-25 |
| 1306111497 | Brook Helmer | Family Medicine | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6436 | 2012-03-21 |
| 1346545746 | Kathrynne O Simmons | Nurse Practitioner | 1222 Trotwood Ave, Suite 503, Columbia, TN 38401-6436 | 2011-01-14 |
| 1982915047 | Daniel M Khuc | Family Medicine | 1222 Trotwood Ave, Columbia, TN 38401-6436 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.