MEDICARE: JAMES MICHAEL WOOD

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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1376408518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL WOOD

Provider Business Mailing Address
First Line	:	520 HILL RD N
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-6500
Country	:	US
Telephone Number	:	614-604-6696
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LAKE CLUB DR STE 230
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3101
Country	:	US
Telephone Number	:	614-604-6696
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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