Organization Active NPI

Samuel T Wood, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Saint Peters, MO
National Provider Identifier
1245373901
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SAMUEL T WOOD, DPM, LLC
Practice address
3701 N Saint Peters Pkwy Ste C-1
Saint Peters, MO 63376-7370
Phone
(636) 720-0190
Fax
(636) 720-0193
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
SAMUEL T WOOD, DPM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel T Wood, DPMNPI 1760475974
Title
Owner
Phone
(636) 720-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3701 N Saint Peters Pkwy Ste C-1
Saint Peters, MO 63376-7370

Mailing address

PO Box 771470
Saint Louis, MO 63177-2470
Phone (314) 989-0300

National Provider Directory

National Provider Directory
Part of
Samuel T Wood DPM LLC

Locations

662 Saint Ferdinand St
Florissant, MO 63031
Phone (314) 921-1020

2115 Kappel Dr
Saint Louis, MO 63136
Phone (314) 867-7474

1395 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 485-7606

1395 Jungermann Rd
Ste E
Saint Peters, MO 63376
Phone (636) 442-1541

114 Piper Hill Dr
Ste 100
Saint Peters, MO 63376
Phone (636) 928-1670

3701 N St Peters Pkwy Ste C1
St Peters Foot Ankle
Saint Peters, MO 63376
Phone (636) 720-0190

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1245373901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771470",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631772470",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N SAINT PETERS PKWY STE C-1",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767370",
            "telephone_number": "636-720-0190",
            "fax_number": "636-720-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL T WOOD, DPM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMUEL T WOOD, DPM LLC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-720-0190",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.