Provider Demographics
NPI:1770549735
Name:WOOD, JAMES EDWARD III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:WOOD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1144 LINGANORE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5250
Mailing Address - Country:US
Mailing Address - Phone:704-650-3818
Mailing Address - Fax:815-301-9413
Practice Address - Street 1:1144 LINGANORE PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5250
Practice Address - Country:US
Practice Address - Phone:704-650-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301106573207R00000X
NC9701663207R00000X
IL036137265207R00000X
NE28376207R00000X
NY250551207R00000X
NJ25MA09897100207R00000X
OH35.092862207R00000X
AZ44270207R00000X
CT38753207R00000X
IN01076806A207R00000X
FLME118385207R00000X
TXN3392207R00000X
VA0101258387207R00000X
NC97-01663207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0437813Medicaid
NJ0845809Medicaid
NC802532OtherPARTNERS
MI1770549735Medicaid
ININ5936001Medicaid
SCN01663Medicaid
FL120555800Medicaid
NC89133M1Medicaid
VA30017814120001Medicaid
NC561550231EOtherCIGNA
NC133M1OtherBCBSNC
IL36137265Medicaid