Samuel T Wood, DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000820 Issued in MO

Legal business name

SAMUEL T WOOD, DPM, LLC

Practice address

662 Saint Ferdinand St
Florissant, MO 63031-5125

Phone

(314) 921-1020

Fax

(314) 921-2450

NPI assigned

Jan 31, 2007

Last updated

Feb 26, 2018By the provider in NPPES

Organization subpart

No

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

(314) 921-1020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Samuel T Wood, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Saint Peters, MO
  • NPI 1245373901
  NPPES parent name

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.

• Samuel T Wood, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florissant, MO
  • NPI 1760475974
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1720125768",
    "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": "662 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315125",
            "telephone_number": "314-921-1020",
            "fax_number": "314-921-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL T WOOD, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "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": "314-921-1020",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Florissant, MO
• Providers in Florissant, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.