RUSSELL J WOOD (NPI# 1649226853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226853 |
| Entity Type | Individual |
| Full Name | RUSSELL J WOOD |
| Credential | PHD |
| Practice Address |
1250 Lears Rd Petoskey MI 49770-9252 |
| Practice Telephone | 2312421704 |
| Practice Fax Number | 2312421717 |
| Mailing Telephone | 2312421704 |
| Mailing Fax Number | 2312421717 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801017828 | MI | Behavioral Health & Social Service Providers |
| Y | 103TF0000X |
Psychologist Specialization: Family |
RW0010283 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598131807 | Russell Wood | Psychologist | 4971 East I-20 Service Road North, Suite 403, Willow Park, TX 76087 | 2015-08-20 |
| 1316156151 | Russell Wood | Occupational Therapist | 1032 E 100 S, Saint George, UT 84770-3005 | 2007-05-21 |
| 1366421653 | Russell H. Wood | Specialist | 3276 N. North Hills Blvd., Fayetteville, AR 72703 | 2006-01-13 |
| Street Address |
1250 LEARS RD |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962427401 | Thomas Lee Sandison | Pharmacist | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-07-13 |
| 1588108260 | Little Traverse Bay Bands of Odawa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2016-12-14 |
| 1881615391 | Terry J Samuels | Family Medicine | 1250 Lears Rd, Petoskey, MI 49770-8774 | 2006-07-21 |
| 1174544696 | Carianne Jeffers-wcisel | Physician Assistant | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375652 | Edgar Charles John Long | Psychologist | 2163 Cornerstone Dr, Mt Pleasant, MI 48858-8029 | 2018-11-23 |
| 1780986752 | Creps Medical Incorporated | Psychologist | 1064 Kendale Pl, Saginaw, MI 48609-6792 | 2010-11-24 |
| 1376863134 | Susan Gross | Psychologist | 451 S Eton St, Birmingham, MI 48009-6524 | 2010-06-03 |
| 1417167065 | Kathleen Burns Jager | Psychologist | 908 E Mount Hope Ave, Perspectives Therapy Services, Lansing, MI 48910-3262 | 2007-05-23 |
| 1376751941 | Garland William Batherson | Psychologist | 822 W Grand River Ave, Brighton, MI 48116-2303 | 2007-05-18 |
| 1053474031 | Kathleen Wong Seitz | Psychologist | 921 West 11th St, Ste 1e, Traverse City, MI 49684 | 2006-12-19 |
| 1013960301 | Tommy Sogbafai Stevens | Psychologist | 2298 S Center Rd, Burton, MI 48519-1166 | 2006-05-18 |
| 1689208019 | Ruby Lee | Psychologist | 77 Victor St, Highland Park, MI 48203-3127 | 2020-02-25 |
| 1851952196 | Kane Sherrod Morris | Psychologist | 2925 Russell St, Detroit, MI 48207-4825 | 2019-06-26 |
| 1013380427 | Brighton Family Center, Plc | Psychologist | 10315 Grand River Rd, Suite 104, Brighton, MI 48116-9594 | 2015-11-06 |
| Find all providers with the same taxonomy | ||||
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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.