FOOT & ANKLE CENTER LLC NPI 1366408205

NPI Information

NPI: 1366408205
Provider Name: FOOT & ANKLE CENTER, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1299 REAVIS BARRACKS RD
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 487-9300
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FOOT & ANKLE CENTER, LLC is a foot and ankle surgery podiatrist in Saint Louis, MO. FOOT & ANKLE CENTER, LLC NPI is 1366408205. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1299 REAVIS BARRACKS RD
SAINT LOUIS, MO
ZIP 63125-260
Phone: (314) 487-9300
Fax: (314) 487-0120

The provider's authorized official is Louis Aquino .
The authorized official title is Authorized Official and has the following contact phone number (314) 487-9300.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/12/2014.

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	0000481	MISSOURI	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	016003754	ILLINOIS	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	016004898	ILLINOIS	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	2004019390	MISSOURI	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005263	MISSOURI	No
6	213ES0103X	Podiatrist	Foot & Ankle Surgery	2001012399	MISSOURI	No
7	213ES0103X	Podiatrist	Foot & Ankle Surgery	000540	MISSOURI	No
8	213ES0103X	Podiatrist	Foot & Ankle Surgery	016004166	ILLINOIS	No
9	213ES0103X	Podiatrist	Foot & Ankle Surgery	000806	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4461710004	OTHER	MISSOURI	MEDICARE DMERC N COUNTY
2	4461710008	OTHER	ILLINOIS	MEDICARE DMERC FH
3	4461710009	OTHER	ILLINOIS	MEDICARE DMERC WATERLOO
4	990001160	MEDICARE PIN	MISSOURI
5	4461710003	OTHER	MISSOURI	DMERC ST CHARLES
6	4461710007	OTHER	ILLINOIS	MEDICARE DMERC GC
7	213138	MEDICARE PIN	ILLINOIS
8	4461710006	OTHER	MISSOURI	MEDICARE DMERC SUNSET HIL
9	4461710010	OTHER	ILLINOIS	MEDICARE DMERC PINCKNEY
10	4461710001	MEDICARE NSC	MISSOURI
11	4461710002	OTHER	MISSOURI	DMERC MO BAP
12	4461710005	OTHER	MISSOURI	MEDICARE DMERC LSTL
13	550140	MEDICARE PIN	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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