JENNIFER GWEN WOOD (NPI# 1235302753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235302753 |
| Entity Type | Individual |
| Full Name | JENNIFER GWEN WOOD |
| Credential | PA-C |
| Practice Address |
240 Sheraton Blvd Macon GA 31210-1358 |
| Practice Telephone | 4784711943 |
| Practice Fax Number | 4784759780 |
| Mailing Telephone | 4784711943 |
| Mailing Fax Number | 4784759780 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005329 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 322789982B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299208 | Jennifer L Wood | Doula | 4301 Ambrose Ct, Burtonsville, MD 20866 | 2018-09-24 |
| 1275034282 | Jennifer Purefoy Wood | Dentist | 12352 Coffeewood Dr, Mitchells, VA 22729-2046 | 2018-02-25 |
| 1245777374 | Jennifer Anne Wood | Nurse Practitioner | 109 Hillsway Dr, Las Vegas, NV 89110-4612 | 2017-01-26 |
| 1023550688 | Jennifer Wood | Registered Nurse | 550 W Arlington Pl Apt 801, Chicago, IL 60614-6429 | 2016-11-14 |
| 1063805927 | Jennifer Wood | Speech-Language Pathologist | 1532 Galena St Ste 380, Aurora, CO 80010-2372 | 2015-03-16 |
| 1801294723 | Jennifer Lynn Wood | Social Worker | 232 Court Street, Machias, ME 04654 | 2014-12-09 |
| 1144666033 | Jennifer Lynne Wood | Behavioral Analyst | 555 Hollis Rd, Ellenboro, NC 28040-7759 | 2013-05-17 |
| 1518219328 | Jennifer Wood | Physical Therapist | 3044 Kettering Boulevard, Morain, OH 45439-1922 | 2012-10-04 |
| 1275788937 | Jennifer Wood | Occupational Therapist | 296 High Ave Apt M3, Nyack, NY 10960-2470 | 2008-11-22 |
| 1548438153 | Jennifer M Wood | Dietitian, Registered | 324 S Church St, Peterson, MN 55962-9776 | 2008-02-16 |
| Street Address |
240 SHERATON BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31210-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236082 | William Keith Fackler | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2005-06-27 |
| 1871842815 | Tami M Goddard | Nurse Practitioner | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2012-09-06 |
| 1619281680 | Susan Meredith Debey | Nurse Practitioner | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2010-08-02 |
| 1285878165 | Elizabeth Lee Lowry | Physician Assistant | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2009-04-23 |
| 1528245784 | Jay Michael Anderson | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-01-29 |
| 1801083811 | Colorectal Surgery Associates P C | Colon & Rectal Surgery | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2007-10-03 |
| 1215097852 | Joel Roy Judah | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2006-12-12 |
| 1528143377 | Daniel Eli Penn | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033309075 | Heidi Mans Atkins | Physician Assistant | 556 3rd St Ste A, Macon, GA 31201 | 2007-07-26 |
| 1982648200 | Gretchen D Suk | Physician Assistant | 1062 Forsyth St, Suite 1b, Macon, GA 31201-8637 | 2006-06-16 |
| 1295732576 | Christine Harrell | Physician Assistant | 1062 Forsyth St Ste 2e, Macon, GA 31201-8631 | 2005-07-01 |
| 1548265549 | Rallie D Cogburn Sr. | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2005-06-16 |
| 1942845375 | Emily Kerns | Physician Assistant | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-11-08 |
| 1245708072 | Amberly Hardison | Physician Assistant | 124 3rd St, Macon, GA 31201-3404 | 2018-11-09 |
| 1407266968 | Patricia Frances Baldwin | Physician Assistant | 400 Charter Blvd, Macon, GA 31210-4831 | 2014-05-05 |
| 1033405477 | Rachel Hinson Youngblood | Physician Assistant | 800 1st St Ste 410, Macon, GA 31201-8306 | 2011-06-23 |
| 1740598648 | Beth Scoggan Costolnick | Physician Assistant | 550 Professional Dr, Macon, GA 31201-1411 | 2010-09-14 |
| 1134452568 | Deana J Porter | Physician Assistant | 210 Mercer Jct, Macon, GA 31210-4016 | 2009-09-17 |
| Find all providers in MACON | ||||
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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.