MRS. SUSAN MICHELLE WOOD MOTR/L NPI 1487650107

NPI Information

NPI: 1487650107
Provider Name: MRS. SUSAN MICHELLE WOOD, MOTR/L
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
306 W MAIN ST
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-3137
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MRS. Susan Michelle Wood, MOTR/L is a specialist in Bridgeport, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Susan Michelle Wood, MOTR/L NPI is 1487650107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

306 W MAIN ST
BRIDGEPORT, WV
ZIP 26330-751
Phone: (304) 842-3137
Fax: (304) 842-3138

The enumeration date for this NPI number is 6/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		945	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7280430	OTHER	WEST VIRGINIA	AETNA
2	1382862	OTHER	WEST VIRGINIA	UMWA
3	2103237	OTHER	WEST VIRGINIA	OPTIMUM CHOICE
4	01071873100	OTHER	WEST VIRGINIA	WV WORKERS' COMPENSATION
5	WV51916B	OTHER	WEST VIRGINIA	HEALTH PLAN
6	WO4100851	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
7	7505080-000	MEDICAID	WEST VIRGINIA
8	010718731007	OTHER	WEST VIRGINIA	BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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