Provider Demographics
NPI:1306806773
Name:METCALF, TRISTI WOOD (MD)
Entity type:Individual
Prefix:DR
First Name:TRISTI
Middle Name:WOOD
Last Name:METCALF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TRISTI
Other - Middle Name:
Other - Last Name:MUIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5353
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-2722
Practice Address - Country:US
Practice Address - Phone:216-445-0611
Practice Address - Fax:216-445-6325
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2413207V00000X, 207VF0040X
OHM2413207VF0040X
VA0101285259207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1766180-02OtherCSHCN
TX176618005Medicaid
TX1766180-01Medicaid
TX8U1460OtherBLUE SHIELD
TXH46742Medicare UPIN
TX8G0176Medicare ID - Type Unspecified