Dr. Susan Alexandria Woody
Nephrologist
1911 S National Ave Suite 301
Springfield
, Missouri 65804-2219
Dr. Susan Alexandria Woody
Nephrologist
1911 S National Ave Suite 301
Springfield
, Missouri 65804-2219
(417) 886-1100
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Susan Alexandria Woody
- 1911 S National Ave Suite 301
- Springfield, MO
- Zip : 65804-2219
- Fax : (417) 886-1100
- Phone : (417) 886-5000
Second Address
- Dr. Susan Alexandria Woody
- 1911 S National Ave Suite 301
- Springfield, MO
- Zip : 65804-2219
- Fax : (417) 886-1100
- Phone : (417) 886-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 112946 | MO |
National Provider Identifier
| NPI | 1053408484 |
|---|---|
| Provider Name | Dr. Susan Alexandria Woody |
| First Address | Springfield, MO 65804-2219 |
| Second Address | Springfield, MO 65804-2219 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 01/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005012599 | MEDICARE PTAN (01) | MO |
| 150376003 | (05) | AR |
| 163193 | BLUE CROSS BLUE SHIELD (01) | MO |
| 243850716 | (05) | MO |
| 390008238 | RAILROAD MEDICARE (01) | MO |
| 405634 | HEALTHLINK PROVIDER (01) | MO |
| G96774 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.