National Provider Identifier Database

ROBERT A WOOD, PA-C – NPI #1457329542
Surgical

Contact Information

ROBERT A WOOD, PA-C
1919 LATHROP ST
FAIRBANKS, AK  99701-5937
Phone: 907-459-3500
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X
Medical 363AM0700X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for ROBERT A WOOD

NPI Number 1457329542
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/14/2006
Last updated 12/31/2018 - About 7 years ago
Sole proprietor1 No
Identifiers
  • AK License #: 139988
  • WA License #: PA10003794
  • ID Medicaid: 003783300
  • WA Medicaid: 8387359
  • ID Other: KQ506 BLUE CROSS OF IDAHO
  • ID Other: 000010017647 REGENCE BLUE SHIELD OF ID
  • WA Other: WO4266 ASURIS NW HEALTH
  • WA Other: 8929877 CRIME VICTIMS
  • WA Other: 149074 DEPT OF LABOR & INDUSTRI
  • WA Other: 15388 GROUP HEALTH NW
  • WA Other: 379109600 OWCP
  • WA Other: 970019578 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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