SAMUEL T WOOD, DPM, LLC (NPI# 1720125768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720125768 |
Entity Type | Organization |
Organization Name | SAMUEL T WOOD, DPM, LLC |
Practice Address |
662 Saint Ferdinand St Florissant MO 63031-5125 |
Mailing Address |
Po Box 771470 Saint Louis MO 63177-2470 |
Practice Telephone | 3149211020 |
Practice Fax Number | 3149212450 |
Mailing Telephone | 3149890300 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2018-02-26 |
Authorized Official Name | SAMUEL T WOOD (OWNER) |
Authorized Official Telephone | 3149211020 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000820 | MO | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245373901 | Samuel T Wood, Dpm, LLC | Podiatrist | 3701 N Saint Peters Pkwy Ste C-1, Saint Peters, MO 63376-7370 | 2007-02-14 |
Street Address |
662 SAINT FERDINAND ST |
City | FLORISSANT |
State | MO |
Zip Code | 63031-5125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760475974 | Samuel T Wood | Podiatrist | 662 Saint Ferdinand St, Florissant, MO 63031-5125 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
Find all providers in zip 63031 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
1225193212 | Mid-west Podiatry & Associates, LLC | Podiatrist | 8205 N Lindbergh Blvd, Florissant, MO 63031-7106 | 2006-12-27 |
1649200502 | Damon Payton | Podiatrist | 2175 Orleans Ln, Florissant, MO 63031-2111 | 2006-07-04 |
1760475974 | Samuel T Wood | Podiatrist | 662 Saint Ferdinand St, Florissant, MO 63031-5125 | 2005-08-24 |
1871599811 | Shari Lewis Kaminsky | Podiatrist | 1224 Graham Rd, Suite 3010, Florissant, MO 63031-8028 | 2005-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
1669745501 | West County Foot and Ankle LLC | Podiatrist | 10004 Kennerly Rd Ste 300a, Saint Louis, MO 63128 | 2012-02-22 |
Find all providers with the same taxonomy |
City | FLORISSANT |
Zip Code | 63031 |
Please comment or provide details below to improve the information on SAMUEL T WOOD, DPM, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.