METRO FOOT SPECIALISTS LLC NPI 1336127208

NPI Information

NPI: 1336127208
Provider Name: METRO FOOT SPECIALISTS LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
521 N VIRGINIA AVE
EUREKA, MO
ZIP 63025
Phone: (636) 938-5006
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METRO FOOT SPECIALISTS LLC is a foot and ankle surgery podiatrist in Eureka, MO. METRO FOOT SPECIALISTS LLC NPI is 1336127208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

521 N VIRGINIA AVE
EUREKA, MO
ZIP 63025-115
Phone: (636) 938-5006
Fax: (636) 587-3774

The provider's authorized official is Kra M Kozlowski .
The authorized official title is Dpm, Facfas and has the following contact phone number (636) 938-5006.

The enumeration date for this NPI number is 1/2/2006 and was last updated on 11/4/2016.

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			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
1	367346509	MEDICAID	MISSOURI
2	5354160001	MEDICARE NSC	MISSOURI
3	367176203	MEDICAID	MISSOURI
4	000014527	MEDICARE PIN	MISSOURI

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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