- Practice location
- Picu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404
- Phone
- 207-973-8670
- Fax
- 207-973-5163
- Last updated
- December 4, 2017
Jonathon P Wood is a Pediatrics, Pediatric Critical Care Medicine based in Bangor, ME. Jonathon P Wood practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Jonathon P Wood is 1659308799 and holds a License No. 015978 (ME). The current practice location address for Jonathon P Wood is Picu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404 and can be reached out via phone at 207-973-8670 and via fax at 207-973-5163.
Provider Profile Details
- NPI Number
- 1659308799
- Provider Name
- Jonathon P Wood
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Picu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404
- Phone Number
- 207-973-8670
- Fax Number
- 207-973-5163
- Primary Taxonomy
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2006
- Last Update Date
- December 4, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Picu Professional Services Emmc
489 State Street
Bangor, ME 04401-0404 - City
- Bangor
- State
- Maine
- Zip
- 04401-0404
- Phone Number
- 207-973-8670
- Fax Number
- 207-973-5163
Provider Business Mailing Address Details
- Address
- 43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006 - City
- Brewer
- State
- ME
- Zip
- 04412-1006
- Phone Number
- 207-973-5000
License Information
- License Number
- 015978
- License State
- ME
- Taxonomy
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathon P Wood, MD?
The NPI number of Dr. Jonathon P Wood, MD is 1659308799. It was assigned on June 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathon P Wood, MD?
Dr. Jonathon P Wood, MD is registered under the primary taxonomy Pediatrics, Pediatric Critical Care Medicine (code 2080P0203X), licensed in ME under license number 015978.
Where does Dr. Jonathon P Wood, MD practice?
The practice location is Picu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404. The office can be reached at 207-973-8670 (phone) or 207-973-5163 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659308799 directly on the NPPES registry website.