MID-WEST PODIATRY AND ASSOCIATES L L C NPI 1659436640

NPI Information

  • NPI: 1659436640
  • Provider Name: MID-WEST PODIATRY AND ASSOCIATES, L L C
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 12818 TESSON FERRY RD STE 201
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 894-4684

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NPI Details

MID-WEST PODIATRY AND ASSOCIATES, L L C is a foot and ankle surgery podiatrist in Saint Louis, MO. MID-WEST PODIATRY AND ASSOCIATES, L L C NPI is 1659436640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12818 TESSON FERRY RD STE 201
SAINT LOUIS, MO
ZIP 63128-945
Phone: (314) 894-4684
Fax: (314) 892-0836

The provider's authorized official is Hieu Nguyen .
The authorized official title is Administrator and has the following contact phone number (314) 432-5683.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 10/13/2021.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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
1365905405MEDICAIDMISSOURI
2365905413MEDICAIDMISSOURI

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: 3/30/2025

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