Individual
JACOB MYLES WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8595 PICARDY AVE STE 100, BATON ROUGE, LA 70809-3674
(225) 763-4900
(225) 763-4066
Mailing address
8595 PICARDY AVE STE 100, BATON ROUGE, LA 70809-3674
(225) 763-4900
(225) 763-4066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00024312
AL
207Q00000X
Family Medicine Physician
Primary
202160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051522945
—
AL
05
—
1319368
—
LA
05
—
1328201
—
LA
05
—
1347957
—
LA
01
—
51522945
BLUE CROSS BLUE SHIELD
AL
01
—
H51432
VIVA HEALTH
AL
01
—
P00141370
RAIL ROAD MEDICARE
—
Enumeration date
02/07/2006
Last updated
12/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us