Physician Compare National (NPI:1093843906)

HEALTHCARE PROVIDER: KARI S. WOOD MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1093843906
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446341234
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070808000563
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOOD
	Individual professional last name
Provider First Name	KARI
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	66 LLOYD LN
	Group Practice or individual's line 1 address
City	TROY
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	169471502
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	391305
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TROY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390236
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GUTHRIE TOWANDA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390079
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROBERT PACKER HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y