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FOOT HEALTH CENTER OF MID-MISSOURI LLC NPI 1427071844


NPI Information

NPI: 1427071844
Provider Name: FOOT HEALTH CENTER OF MID-MISSOURI LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3207 W TRUMAN BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 659-2376
Get Directions

FOOT HEALTH CENTER OF MID-MISSOURI LLC is a podiatrist in Jefferson City, MO. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT HEALTH CENTER OF MID-MISSOURI LLC NPI is 1427071844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3207 W TRUMAN BLVD
JEFFERSON CITY, MO
ZIP 65109-892
Phone: (573) 659-2376
Fax: (573) 893-3342

The provider's authorized official is David Stephen Carron .
The authorized official title is Podiatrist and has the following contact phone number (573) 659-2376.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 6/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristMO000667MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125894OTHERMISSOURIBC/BS
2DF1787OTHERMISSOURIRAILROAD MEDICARE
3248520OTHERMISSOURIHEALTHLINK
4=========OTHERMISSOURIGHP
54565615OTHERMISSOURIAETNA
6=========OTHERMISSOURIMERCY

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

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