BEVERLY J WOOD (NPI# 1922071349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922071349 |
| Entity Type | Individual |
| Full Name | BEVERLY J WOOD |
| Credential | PA-C |
| Practice Address |
61 Barra Road Biddeford ME 04005 |
| Mailing Address |
Po Box 9746 Portland ME 04104-5040 |
| Practice Telephone | 2072831441 |
| Practice Fax Number | 2075231136 |
| Mailing Telephone | 2077913888 |
| Mailing Fax Number | 2078287850 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1080 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432490199 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063621100 | Beverly A Wood | Psychiatry & Neurology | 4344 Broad River Rd, Columbia, SC 29210-4010 | 2007-05-22 |
| 1437671724 | Beverly Ann Wood | Specialist/Technologist | 2597 Hwy 66, Whitmire, SC 29178 | 2017-07-09 |
| 1598951527 | Beverly Wood | Nurse Practitioner | 320 Santa Fe Dr Ste 204, Encinitas, CA 92024-5179 | 2007-09-24 |
| 1144383829 | Beverly J. Wood | Social Worker | 500 Barfield Dr, Hastings, MI 49058-9018 | 2006-12-18 |
| 1104926369 | Beverly Anne Wood | Nurse Practitioner | 265 W Union St Ste A, Athens, OH 45701-2313 | 2006-09-25 |
| 1720003007 | Beverly Wood | Radiology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2006-07-13 |
| 1407812712 | Beverly Gail Wood | Specialist | 1615 Hospital Pkwy, Suite 310, Bedford, TX 76022-5934 | 2006-04-25 |
| Street Address |
61 BARRA ROAD |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373733 | Su Anne Hammond | Family Medicine | 61 Barra Road, Biddeford, ME 04005 | 2006-11-17 |
| 1053376137 | David Strassler | Family Medicine | 61 Barra Road, Biddeford, ME 04005-3243 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| 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 |
|---|---|---|---|---|
| 1164850251 | Beth Jane Hart | Physician Assistant | 26 W Cole Rd Ste 102, Biddeford, ME 04005-9407 | 2013-10-29 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1952356958 | Erin Haynes | Physician Assistant | 281 Main St, Biddeford, ME 04005-2412 | 2006-05-24 |
| 1609427053 | Jenna E Ebert | Physician Assistant | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2019-09-26 |
| 1073179230 | Christopher M Cathcart | Physician Assistant | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2019-05-14 |
| 1831659390 | Benjamin Paul Warshauer | Physician Assistant | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2019-03-21 |
| 1174022453 | Angela Martel | Physician Assistant | 46 Barra Road, Suites 201/202, Biddeford, ME 04005 | 2018-02-01 |
| 1417307489 | Gretchen Nicoll Gimbel | Physician Assistant | 26 W Cole Rd Ste 102, Biddeford, ME 04005-9407 | 2016-06-20 |
| 1942682034 | Lauren Alofs | Physician Assistant | 46 Barra Rd, Smhc Orthopedics, Biddeford, ME 04005 | 2015-06-24 |
| 1447547864 | Eric N Smith | Physician Assistant | 46 Barra Rd Ste 103, Biddeford, ME 04005-9461 | 2011-07-06 |
| Find all providers in BIDDEFORD | ||||
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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.