DR. VINCENT LOUIS TRAVISANO DPM NPI 1932189115

NPI Information

  • NPI: 1932189115
  • Provider Name: DR. VINCENT LOUIS TRAVISANO, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7509 BIG BEND BLVD
    SAINT LOUIS, MO
    ZIP 63119
  • Phone: (314) 961-3113

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NPI Details

DR. Vincent Louis Travisano, DPM is a foot and ankle surgery podiatrist in Saint Louis, MO. DR. Vincent Louis Travisano, DPM NPI is 1932189115. 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:

7509 BIG BEND BLVD
SAINT LOUIS, MO
ZIP 63119-103
Phone: (314) 961-3113
Fax: (314) 968-7529

The NPI 1932189115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/22/2006 and was last updated on 6/13/2013.

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 Surgery000459MISSOURIYes

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
16754120001MEDICARE NSCMISSOURI
2000021145MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE PROVIDER NUMBER
3T42883MEDICARE UPINMISSOURI
4301841607MEDICAIDMISSOURI

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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