Jason Kort Woody Sr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2024028667 Issued in MO

Practice address

3721 S Grand Blvd
Saint Louis, MO 63118-3405

Phone

(314) 328-0144

Fax

(314) 788-3021

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dedicated Missouri Holding LLCGroup PAC ID 5395176820, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

92.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dedicated Missouri Holding, LLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1053958082

  MO

  Medicare reassignment Care Compare group
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268

  Family Medicine

  Medicare reassignment NPD
• Dedicated Missouri Holding, LLC

  • Non-Pharmacy Dispensing Site
  • Saint Louis, MO
  • NPI 1154968196
  NPD
• Dedicated Missouri Holding, LLC

  • Non-Pharmacy Dispensing Site
  • Saint Louis, MO
  • NPI 1790317402
  NPD
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Farmington, MO
  • NPI 1427114990
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1295304103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117",
            "fax_number": "305-393-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183405",
            "telephone_number": "314-328-0144",
            "fax_number": "314-788-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Dougherty Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631223313",
            "country_code": "US",
            "telephone_number": "314-966-9586",
            "fax_number": "314-966-9394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1471 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284109",
            "country_code": "US",
            "telephone_number": "636-937-2700",
            "fax_number": "636-937-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODY",
        "first_name": "JASON",
        "middle_name": "KORT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024028667",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021024168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1471 US Highway 61",
            "city": "Festus",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630284109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janice Woodson
• Makayla Talese Woodson
• Brian Lee Woodward, DC
• Joanne Woodworth
• Danielle Mikayla Woody, SLP
• Ana Wooldridge, LMT
• Kelly Louise Wooldridge, MPT
• Madison Hannah Wooldridge, AU.D., CCC-A
• Natasha Woolens
• Jessica Marie Woolf-Chessey, MSW, LCSW

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.