MR. Jerry M Liddell, DPM is a foot and ankle surgery podiatrist in Saint Louis, MO with 22 years of experience. MR. Jerry M Liddell, DPM NPI is 1700872611. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2002
The provider's business location address is:
4901 FOREST PARK AVE
DIV SURG ACCS PODIATRY, STE 420
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 747-4769
Fax: (888) 824-2176
The NPI 1700872611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
- Removal of 2 to 4 thickened skin growths (HCPCS:11056)
- Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
The enumeration date for this NPI number is 9/26/2005 and was last updated on 4/25/2024.