Physician Compare National (NPI:1265542757)

HEALTHCARE PROVIDER: NEIL LIPSCOMB WOOD JR. 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	1265542757
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315038551
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070802000313
	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	NEIL
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1968
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11985 HERITAGE OAK PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	AUBURN
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956032413
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050150
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SIERRA NEVADA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050498
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUTTER AUBURN FAITH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y