Provider Demographics
NPI:1093843906
Name:WOOD, KARI S (MD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:S
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 GUTHRIE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:PA
Mailing Address - Zip Code:16947-8115
Mailing Address - Country:US
Mailing Address - Phone:570-297-4104
Mailing Address - Fax:
Practice Address - Street 1:285 GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:PA
Practice Address - Zip Code:16947-8115
Practice Address - Country:US
Practice Address - Phone:570-297-4104
Practice Address - Fax:570-297-2066
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429558207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019696190001Medicaid
PAGU039829OtherPA MEDICARE GROUP
PAP00424202OtherRR MEDICARE PIN
PACC9269OtherRR MEDICARE GROUP
PAGU0400074OtherPA MEDICARE GROUP
NY02897556Medicaid
PA113587N93Medicare PIN
PA1019696190001Medicaid