DR. JONATHON P WOOD MD
NPI 1659308799
Pediatrics - Pediatric Critical Care Medicine in Bangor, ME

Active since June 26, 2006PECOS Enrolled
PICU PROFESSIONAL SERVICES EMMC, 489 STATE STREET, BANGOR, ME 04401(207) 973-8670(207) 973-5163 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathon P Wood Md NPPES

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

DR. JONATHON P WOOD MD (NPI 1659308799) is an individual pediatric critical care medicine provider in Bangor, Maine, licensed in Maine (015978) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1659308799
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JONATHON P WOODCredential: MD
Location AddressPICU PROFESSIONAL SERVICES EMMC, 489 STATE STREETBangor, ME 04401-0404
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000
Fax(207) 973-5163
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateDecember 4, 2017
NPI 1659308799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in ME · 015978
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
PICU PROFESSIONAL SERVICES EMMC, Bangor, ME 04401

Secondary Practice Location 1

Location 1PICU Professional Services EMMC, 489 State StreetBangor, ME 04401-0404 · Phone (207) 973-8670 · Fax (207) 973-5163

Other Identifiers 2

Medicare UPING51874ME
Medicare ID-Type UnspecifiedMM9609ME

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. Jonathon P Wood Md 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.

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 Jonathon Wood's NPI number?

The NPI number for Jonathon Wood is 1659308799. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Jonathon Wood located?

Jonathon Wood practices at Picu Professional Services Emmc 489 State Street, Bangor, ME 04401. The listed phone number is (207) 973-8670.

What is Jonathon Wood's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jonathon Wood enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathon Wood was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.