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ETHAN WOOD
NPI 1073356895
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 18, 2024
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Wood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN WOOD (NPI 1073356895) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1073356895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN WOOD
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address8226 E 34th StTulsa, OK 74145-1427
Phone(918) 582-1972
Sole ProprietorYes
Enumeration DateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1073356895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Wood's NPI number?

The NPI number for Ethan Wood is 1073356895. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Ethan Wood located?

Ethan Wood practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Ethan Wood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Wood was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.