Kristopher Richard Wood (NPI# 1700875028, PAC ID# 2860518941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1700875028 |
| PAC ID by PECOS | 2860518941 |
| Professional Enrollment ID | I20100927000314 |
| Full Name | Kristopher Richard Wood |
| Organization Legal Name | CHILTON MEDICAL GROUP PC |
| Address |
108 Medical Ctr Dr Clanton AL 35045-2332 |
| Phone Number | 2057555700 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9638197460 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010173 | ST VINCENT'S CHILTON |
| 010016 | SHELBY BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 108 Medical Ctr Dr, Clanton, AL 35045-2332 | 2057555700 | CHILTON MEDICAL GROUP PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 7% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 33% |
| Organization Legal Name | CHILTON MEDICAL GROUP PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles K Funderburk | Emergency Medicine | Chilton Medical Group PC | 108 Medical Ctr Dr, Clanton, AL 35045-2332 |
| Jason Hall Deberry | Internal Medicine | Chilton Medical Group PC | 108 Medical Ctr Dr, Clanton, AL 35045-2332 |
| Street Address |
108 MEDICAL CTR DR |
| City | CLANTON |
| State | AL |
| Zip | 35045-2332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Lee Cleckler | Podiatry | Birmingham Podiatry PC | 108 Medical Ctr Dr, Clanton, AL 35045-2332 |
| Charles K Funderburk | Emergency Medicine | Chilton Medical Group PC | 108 Medical Ctr Dr, Clanton, AL 35045-2332 |
| Jason Hall Deberry | Internal Medicine | Chilton Medical Group PC | 108 Medical Ctr Dr, Clanton, AL 35045-2332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurice J Lyn | Optometry | 638 Clanton Marketplace, Clanton, AL 35045 | |
| Jon E Binkerd | General Surgery | 1015 Lay Dam Rd, Suite A, Clanton, AL 35045-2305 | |
| Ajay Popatlal Patel | Internal Medicine | Clanton Internal Medicine LLC | 1008 Lay Dam Rd, Clanton, AL 35045-2306 |
| Patricia A Sanders | Obstetrics/gynecology | 1006 Lay Dam Rd, Clanton, AL 35045-2306 | |
| Cherrie Salazar Herrera | Internal Medicine | Clanton Internal Medicine LLC | 1008 Lay Dam Rd, Clanton, AL 35045-2306 |
| Betsy Farris | Optometry | Eyecare Associates, Inc. | 1100 Lay Dam Rd, Clanton, AL 35045-2308 |
| John S Irwin Iv | Chiropractic | 104 Popwell Ave, Clanton, AL 35045-2324 | |
| David S Wilson | Internal Medicine | 206 Medical Ctr Dr, Clanton, AL 35045-2330 | |
| Constance Belser Quinn | Nurse Practitioner | Health Services Inc | 107 Medical Ctr Dr, Clanton, AL 35045-2331 |
| James R Pitts Sr. | Ophthalmology | 109 Medical Ctr Dr, Clanton, AL 35045-2331 | |
| Find all physicians in zip 35045 | |||
| City | CLANTON |
| Zip Code | 35045 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLANTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kristopher Richard 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.