Kenneth E Wood (NPI# 1225099138, PAC ID# 2769520519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1225099138 |
| PAC ID by PECOS | 2769520519 |
| Professional Enrollment ID | I20160302000635 |
| Full Name | Kenneth E Wood |
| Organization Legal Name | SHOCK TRAUMA ASSOCIATES PA |
| Address |
22 S Green St Baltimore MD 21201-1544 |
| Phone Number | 4103286704 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800882317 |
| Number of Group Practice Members | 205 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210002 | UNIVERSITY OF MARYLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22 S Green St, Baltimore, MD 21201-1544 | 4103286704 | SHOCK TRAUMA ASSOCIATES PA |
| Organization Legal Name | SHOCK TRAUMA ASSOCIATES PA |
| Physicians | 204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay B O'meara | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Joseph Alden Herrold | General Surgery | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Shanna E Fortune | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Siamak Moayedi | Emergency Medicine | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Ronald B Tesoriero | General Surgery | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Christopher L Kolokythas | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Katie B Andersen | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Barbara C Eaton | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Sukhwant Sidhu | Anesthesiology | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Kabrina Johnson | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Street Address |
22 S GREEN ST |
| City | BALTIMORE |
| State | MD |
| Zip | 21201-1544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay B O'meara | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Jeongae Yoon | Anesthesiology | University of Maryland Anesthesiology Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Shoshana J Weiner | Internal Medicine | University of Maryland Physicians P.a. | 22 S Green St, Baltimore, MD 21201-1544 |
| Michael Kallen | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Ning Ma | Nurse Practitioner | University of Maryland Oncology Associates, Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Joseph Alden Herrold | General Surgery | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Shanna E Fortune | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Lindsey A Burns | Nurse Practitioner | University of Maryland Oncology Associates, Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Carlyn Bonny | Certified Registered Nurse Anesthetist (crna) | University of Maryland Medical System Corporation | 22 S Green St, Baltimore, MD 21201-1544 |
| Robert Glen Slawson | Radiation Oncology | University of Maryland Radiation Oncology Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andra Henning | Occupational Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Adaobi E Igboanugo | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Olugbolahan J Anifowose | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Carmen Tucker-richardson | Qualified Speech Language Pathologist | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Terrell D Trent | Occupational Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Monique Whitney | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Jodi L Berg-gaither | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Michael L Mincin | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Tiffany D Reabold | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Brent Russell King | Emergency Medicine | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Find all physicians in zip 21201 | |||
| City | BALTIMORE |
| Zip Code | 21201 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | BALTIMORE + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Kenneth E Wood.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.