Susan Alexandria Woody in Springfield - Nephrology

Susan Alexandria Woody - NPI 1053408484

Susan Alexandria Woody is a Nephrology in Springfield, Missouri. Susan Alexandria Woody practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Susan Alexandria Woody is 1053408484. The last update date is 2009-12-01.

Susan Alexandria Woody's current location address is 1911 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178865000 and fax number 4178861100. The mailing address for Susan Alexandria Woody is 1911 S National Ave, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Alexandria Woody
Address 1911 S National Ave, Springfield, Missouri
Phone Number 4178865000
Fax Number 4178861100
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1053408484
Provider Enumeration Date 2006-10-06
Last Updated Date 2009-12-01

Provider Mailing Address Detail

Address 1911 S National Ave
City Springfield
State Missouri (MO)
Post Code 658042219
Phone Number 4178865000
Fax Number 4178861100

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 112946
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
150376003 AR --
390008238 MO RAILROAD MEDICARE
405634 MO HEALTHLINK PROVIDER
243850716 MO --
163193 MO BLUE CROSS BLUE SHIELD
5012599 MO MEDICARE PTAN

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FAQs about Susan Alexandria Woody

What is the unique identifier code issued to Susan Alexandria Woody by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Alexandria Woody has been assigned the NPI (National Provider Identifier) 1053408484. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Susan Alexandria Woody is physically located?

The Susan Alexandria Woody is situated at the following address: 1911 S National Ave, Springfield, MO 658042219.

What is the area of specialization for Susan Alexandria Woody, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Susan Alexandria Woody is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.

On what date was the 1053408484 assigned to Susan Alexandria Woody?

The Susan Alexandria Woody was issued its 1053408484 on 2006-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Susan Alexandria Woody most recently updated or refreshed?

The details pertaining to the Susan Alexandria Woody, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-01.

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