GLENN WOOD MD PA (NPI# 1457652703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457652703 |
| Entity Type | Organization |
| Organization Name | GLENN WOOD MD PA |
| Other Organization Name | CAROUSEL PEDIATRICS |
| Practice Address |
2621 Ridgepoint Dr Suite 130 Austin TX 78754-5232 |
| Mailing Address |
9411 N Lamar Blvd Austin TX 78753-4178 |
| Practice Telephone | 5125839600 |
| Mailing Telephone | 5129776000 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | GLENN WOOD (OWNER) |
| Authorized Official Telephone | 5125839600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 558670000 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 208000000X | Pediatrics | K4012 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carousel Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194264416 | Glenn Wood Md Pa | Pediatrics | 1201 S Interstate 35 Ste 303, Round Rock, TX 78664-6651 | 2017-02-20 |
| 1861704280 | Glenn Wood Md Pa | Pediatrics | 9411 N Lamar Blvd, Austin, TX 78753-4178 | 2010-07-14 |
| 1447480132 | Glenn Wood Md Pa | Speech-Language Pathologist | 2621 Ridgepoint Dr Ste 130, Austin, TX 78754-5224 | 2009-07-16 |
| 1770712804 | Glenn Wood Md Pa | Dentist | 6425 S Ih 35, 100, Austin, TX 78744-4271 | 2009-07-10 |
| 1588898589 | Glenn Wood Md Pa | Optometrist | 5339 N Ih 35, Austin, TX 78723-2428 | 2009-05-06 |
| 1336519560 | Glenn Wood Md Pa | Nurse Practitioner | 7112 Ed Bluestein Blvd Ste 100, Austin, TX 78723-2913 | 2015-09-30 |
| 1871998989 | Glenn Wood Md Pa | Pediatrics | 6610 Mcneil Dr, Austin, TX 78729-7767 | 2014-10-31 |
| 1245503630 | Glenn Wood Md Pa | Pediatrics | 1123 E 9th St, Mission, TX 78572-4404 | 2012-02-15 |
| 1235402629 | Glenn Wood Md Pa | Pediatrics | 1900 S Jackson Rd, Ste 1, Mcallen, TX 78503-1588 | 2012-02-15 |
| 1043581275 | Glenn Wood Md Pa | Pediatrics | 109 S Texas Ave, Ste E, Mercedes, TX 78570-2725 | 2012-01-19 |
| Street Address |
2621 RIDGEPOINT DR SUITE 130 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356320717 | Ashley Bovee King | Physical Therapist | 2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232 | 2006-01-13 |
| 1497037592 | Sonia J Wood | Nurse Practitioner | 2621 Ridgepoint Dr, Ste 130, Austin, TX 78754-5232 | 2011-09-14 |
| 1649562281 | Tanya F Loffler | Speech-Language Pathologist | 2621 Ridgepoint Dr, 140, Austin, TX 78754-5232 | 2011-05-13 |
| 1487950150 | Yu-jung Lee | Occupational Therapist | 2621 Ridgepoint Dr, 140, Austin, TX 78754-5232 | 2011-01-28 |
| 1720381239 | Meredith Blount | Physical Therapist | 2621 Ridgepoint Dr, 140, Austin, TX 78754-5232 | 2010-12-06 |
| 1427377928 | Marcia Lee Koenig | Speech-Language Pathologist | 2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232 | 2010-05-24 |
| 1902121486 | Lisa Anne Smith | Occupational Therapist | 2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232 | 2010-03-29 |
| 1437471182 | Britney Raye Fries | Physical Medicine & Rehabilitation | 2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
| Find all providers in zip 78754 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1245858166 | Patricia Bailey Nicol | Pediatrics | 6101 E Oltorf St # Tx78741, Austin, TX 78741-7500 | 2020-07-07 |
| 1962061986 | Tch Pediatrics Inc | Pediatrics | 2911 Medical Arts St Ste 7, Austin, TX 78705-3302 | 2019-06-12 |
| 1316502875 | Tch Pediatric Associates, Inc | Pediatrics | 1111 W 34th St Ste 102, Austin, TX 78705-1916 | 2019-05-09 |
| 1871158816 | Sara Marie Dryden | Pediatrics | 4900 Mueller Blvd Ste 35.066c, Austin, TX 78723-3079 | 2019-05-06 |
| 1285190066 | Raegan Oneill | Pediatrics | 1621 E 6th St Apt 1230, Austin, TX 78702-3350 | 2019-02-16 |
| 1376023267 | Tch Pediatric Associates, Inc | Pediatrics | 2911 Medical Arts St Ste 20, Austin, TX 78705-3302 | 2018-08-20 |
| 1174012272 | Amanda Vela | Pediatrics | 4900 Mueller Blvd Ste 3s.066, Austin, TX 78723-3079 | 2018-05-03 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1083120257 | Rachel Aujla Quirt | Pediatrics | 1301 Barbara Jordan Blvd Ste 200b, Austin, TX 78723-3078 | 2017-12-23 |
| Find all providers in AUSTIN | ||||
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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.