Jonathan R Wood (NPI# 1255567947, PAC ID# 6406193770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1255567947 |
| PAC ID by PECOS | 6406193770 |
| Professional Enrollment ID | I20190124000550 |
| Full Name | Jonathan R Wood |
| Organization Legal Name | DIRECT RADIOLOGY PLLC |
| Address |
44 -132 Hako St Apt 2 Kaneohe HI 96744-2507 |
| Phone Number | 8556877237 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436396165 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 050039 | ENLOE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 44 -132 Hako St, Apt 2, Kaneohe, HI 96744-2507 | 8556877237 | DIRECT RADIOLOGY PLLC |
| 44 -132 Hako St, Apt 2, Kaneohe, HI 96744-2507 | 855687723711115 | ENLOE MEDICAL CENTER |
| Organization Legal Name | DIRECT RADIOLOGY PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Thomas Johannsen | Diagnostic Radiology | Direct Radiology Pllc | 2507 Holly Point Rd E, Orange Park, FL 32073-5632 |
| James Clark Haug | Diagnostic Radiology | Direct Radiology Pllc | 8611 Lantana Spgs, Converse, TX 78109-2332 |
| Joseph G Mollura | Diagnostic Radiology | Direct Radiology Pllc | 845 United Nations Plz, Apt 47d, New York, NY 10017-3535 |
| Matthew D. Moore | Diagnostic Radiology | Direct Radiology Pllc | 9658 23rd Bay St, Norfolk, VA 23518-1704 |
| Baharak Bagheri | Diagnostic Radiology | Direct Radiology Pllc | 23568 Highland Dr, Fergus Falls, MN 56537-8170 |
| Edmund D Harris | General Practice | Direct Radiology Pllc | 159 Thornton Ln, Lakehills, TX 78063-4314 |
| Karen Dittrich | Diagnostic Radiology | Direct Radiology Pllc | 95 E 4100, Park City, UT 84098-6323 |
| Street Address |
44 -132 HAKO ST APT 2 |
| City | KANEOHE |
| State | HI |
| Zip | 96744-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Klein | Clinical Social Worker | 45955 Kamehameha Hyw, Suite 401, Kaneohe, HI 96744 | |
| Dan Heslinga | Family Practice | 46-001 Kamahameha Hwy 321, Kaneohe, HI 96744 | |
| Janine Y Among | Family Medicine | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Anna-lia G Quinio | Family Medicine | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Julia C Park | Internal Medicine | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Yogi R Patel | Family Medicine | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Melissa J Lawrence | Obstetrics/gynecology | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Adam D Picker | Physician Assistant | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Mi'i A Hawkins | Family Medicine | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Kyle K Ohisa | Physician Assistant | Hawaii Permanente Medical Group Inc | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 |
| Find all physicians in zip 96744 | |||
| City | KANEOHE |
| Zip Code | 96744 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KANEOHE + DIAGNOSTIC RADIOLOGY |
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| 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.