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DR. GORDON STACEY WOOD M.D.
NPI 1255328969
Otolaryngology - Plastic Surgery within the Head & Neck in Logan, UT

Active since September 29, 2005PECOS Enrolled

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gordon Stacey Wood M.d. NPPES

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

DR. GORDON STACEY WOOD M.D. (NPI 1255328969) is an individual plastic surgery within the head & neck provider in Logan, Utah, licensed in Utah (185282-1205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1255328969
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. GORDON STACEY WOODCredential: M.D.
Location Address1219 N 400 ELogan, UT 84341-2321
Mailing Address2380 N 400 E, Suite #dNorth Logan, UT 84341-1749 · (435) 753-7880 · Fax (435) 753-5845
Phone(435) 565-6043
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1255328969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in UT · 185282-1205
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
1219 N 400 E, Logan, UT 84341
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Secondary Practice Location 1

Location 1169 N Gateway Dr Ste 170Providence, UT 84332-9855 · Phone (435) 565-6043

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Stacey Wood M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims720 services$0.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

KATELIN WOOD CSW
Social Worker (Clinical)
1219 N 400 E
LOGAN, UT 84341
Cache County (801) 871-5118
MRS. KRYSTAL COX MA, LMFT
Marriage & Family Therapist
1219 N 400 E
LOGAN, UT 84341
Cache County (801) 871-5118
COREY B JOHNSON MD PC
Family Medicine
1219 N 400 E
LOGAN, UT 84341
Cache County (435) 753-2842
LACEY HILL BUCHANAN
Social Worker (Clinical)
1219 N 400 E
LOGAN, UT 84341
Cache County (801) 871-5118
DR. MATTHEW JOHN WELTER M.D.
Family Medicine
1219 N 400 E
LOGAN, UT 84341
Cache County (435) 757-8943
DAVID D BELL
Podiatrist (Foot & Ankle Surgery)
1219 N 400 E
LOGAN, UT 84341
Cache County (435) 753-7000
MATTHEW WELTER MD
Family Medicine
1219 N 400 E
LOGAN, UT 84341
Cache County (435) 932-2025
DR. COREY B JOHNSON MD
Family Medicine
1219 N 400 E
LOGAN, UT 84341
Cache County (435) 753-2842

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 Gordon Wood's NPI number?

The NPI number for Gordon Wood is 1255328969. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Gordon Wood located?

Gordon Wood practices at 1219 N 400 E, Logan, UT 84341. The listed phone number is (435) 565-6043.

What is Gordon Wood's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Gordon Wood enrolled in Medicare?

Yes. Gordon Wood is registered in the Medicare PECOS enrollment system.

What insurance does Gordon Wood accept?

Health plans from Select Health list Gordon Wood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Wood was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.