Woodlake Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000414 Issued in MO

Legal business name

WOODLAKE PODIATRY

Practice address

1585 Woodlake Dr
200
Chesterfield, MO 63017-5740

Phone

(314) 434-7430

Fax

(314) 434-8768

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Howard Jaffe, DPM

Title

Owner/Podiatrist

Phone

(314) 434-7430

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21381/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leland Jaffe, D.P.M.

  • Foot Surgery Podiatrist
  • Palatine, IL
  • NPI 1265696777

  Foot & Ankle Surgery

  NPD

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1982069233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-434-7430",
            "fax_number": "314-434-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-434-7430",
            "fax_number": "314-434-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "314-434-7430",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000414",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2015014632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women'S Health Care, Inc.
• Luu Thi Wong, OT
• Alexander Fred Wood, PHARM.D.
• John A Wood, MD
• John R Wood, MA
• Woodlake Podiatry, LLC
• Woods Mill Medical Associates, LLC
• Woods Mill Orthopedics LTD
• Woods Mill Pediatric and Adolescent Medicine, LLC
• Jody Lynn Woodward, PH.D.

• Foot & Ankle Surgery Podiatrist in Chesterfield, MO
• Providers in Chesterfield, 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 Dec 30, 2015; 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.