Samuel T Wood (NPI# 1760475974, PAC ID# 8729058557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1760475974 |
| PAC ID by PECOS | 8729058557 |
| Professional Enrollment ID | I20070523000020 |
| Full Name | Samuel T Wood |
| Address |
662 Saint Ferdinand St Florissant MO 63031-5125 |
| Gender | M |
| Credential | DPM |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1994 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12303 De Paul Dr, Bridgeton, MO 63044-2512 | ||
| 662 Saint Ferdinand St, Florissant, MO 63031-5125 | ||
| 3701 N St Peters Pkwy, 1 St Peters Foot and Ankle, Saint Peters, MO 63376-7370 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 66% |
| Street Address |
662 SAINT FERDINAND ST |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-5125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | PODIATRY |
| City + Specialty | FLORISSANT + PODIATRY |
Please comment or provide details below to improve the information on Samuel T Wood.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.