MR. JESSE FISCHER C. PED BOCPD NPI 1689085706

NPI Information

  • NPI: 1689085706
  • Provider Name: MR. JESSE FISCHER, C. PED, BOCPD
  • Classification: Pedorthist - 224L00000X
  • Entity Type: Individual
  • Address: 11693 MANCHESTER RD
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 822-3300

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NPI Details

MR. Jesse Fischer, C. PED, BOCPD is a pedorthist in Saint Louis, MO. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. MR. Jesse Fischer, C. PED, BOCPD NPI is 1689085706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11693 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63131-613
Phone: (314) 822-3300
Fax: (314) 822-1082

The enumeration date for this NPI number is 5/12/2014 and was last updated on 5/12/2014.

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
1224L00000XPedorthistC51558MARYLANDNo
2224L00000XPedorthistCPED4080DELAWAREYes

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: 11/21/2025

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