Provider Demographics
NPI:1386442010
Name:WOOD, MARIYA I
Entity type:Individual
Prefix:
First Name:MARIYA
Middle Name:
Last Name:WOOD
Suffix:I
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 SEASPRITE DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8509
Mailing Address - Country:US
Mailing Address - Phone:614-824-8430
Mailing Address - Fax:614-824-8430
Practice Address - Street 1:696 E SCHREYER PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2229
Practice Address - Country:US
Practice Address - Phone:614-824-8430
Practice Address - Fax:614-824-8430
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide