MEDICARE: DR. GREGORY DOUGLAS WOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	E2280	AR
2	207V00000X	Obstetrics & Gynecology Physician	MD480173	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225040645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY DOUGLAS WOOD MD

Provider Business Mailing Address
First Line	:	4310 LONDONDERRY RD
Second Line	:	SUITE 101
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5333
Country	:	US
Telephone Number	:	717-652-6605
Fax Number	:	717-652-6431

Provider Business Practice Location Address
First Line	:	4310 LONDONDERRY RD
Second Line	:	SUITE 101
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5333
Country	:	US
Telephone Number	:	717-652-6605
Fax Number	:	717-652-6431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	05/15/2025

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