Individual provider · Type 1 NPI

Jason Kort Woody Sr., DO

Family Medicine Physician · St. Louis, MO

NPI number 1295304103 Active

Practice location

3721 S Grand Blvd
St. Louis, MO 63118-3405

Call (314) 328-0144 Map

Fax (314) 788-3021

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Other practice locations

2345 Dougherty Ferry Rd, St. Louis, MO 63122-3313 · (314) 966-9586
1471 US Highway 61, Festus, MO 63028-4109 · (636) 937-2700

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	2024028667 (MO)
Family Medicine Physician	207Q00000X	2021024168 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1295304103

Jason Kort Woody Sr., DO's National Provider Identifier is 1295304103, issued on Jun 24, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 5, 2026.