WOODLAKE PODIATRY LLC NPI 1093260176

NPI Information

NPI: 1093260176
Provider Name: WOODLAKE PODIATRY, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
222 S WOODS MILL RD STE 440N
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 434-7430
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WOODLAKE PODIATRY, LLC is a foot and ankle surgery podiatrist in Chesterfield, MO. WOODLAKE PODIATRY, LLC NPI is 1093260176. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 S WOODS MILL RD STE 440N
CHESTERFIELD, MO
ZIP 63017-625
Phone: (314) 434-7430
Fax: (314) 434-8768

The provider's authorized official is Sheryl Hanawalt .
The authorized official title is Podiatrist/owner and has the following contact phone number (314) 434-7430.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	2015014632	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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