FIRST STEP FOOT AND ANKLE (NPI# 1093019713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093019713 |
Entity Type | Organization |
Organization Name | FIRST STEP FOOT AND ANKLE |
Practice Address |
806 Hwy 72 E Rolla MO 65401 |
Mailing Address |
11568 Pine Forest Dr Rolla MO 65401-5427 |
Practice Telephone | 5735780939 |
Practice Fax Number | 5734266051 |
Mailing Telephone | 5735780939 |
Mailing Fax Number | 5734266051 |
Enumeration Date | 2011-01-10 |
Last Update Date | 2011-01-10 |
Authorized Official Name | CHRISTOPHER L JOHNSON (DOCTOR OF PODIATRIC MEDICINE) |
Authorized Official Telephone | 5735780939 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
000803 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 305351900 | 05 | |
MO | NPI | 1154337202 | 01 |
Street Address |
806 HWY 72 E |
City | ROLLA |
State | MO |
Zip Code | 65401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
Find all providers in zip 65401 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144829565 | Best Foot Forward Corp | Clinic/Center | 8790 Watson Rd Ste 103, Saint Louis, MO 63119-5140 | 2020-10-19 |
1215103536 | Southwest Foot Clinic, LLC | Clinic/Center | 2531 B East 32nd St, Joplin, MO 64804 | 2008-05-06 |
1437331790 | Advanced Foot Care Center, PC | Clinic/Center | 828 Sw Blue Pkwy, Lees Summit, MO 64063-3805 | 2007-11-28 |
1427614601 | Best Foot Forward Corp | Clinic/Center | 1455 Us Highway 61, Festus, MO 63028-4157 | 2019-05-14 |
1659685048 | Midwest Foot and Ankle Surgeons LLC | Clinic/Center | 1000 Des Peres Rd, Suite 120, Saint Louis, MO 63131-2050 | 2010-07-28 |
1447425988 | Missouri Podiatric Surgicare LLC | Clinic/Center | 851 E 5th St, Suite 228, Washington, MO 63090-3135 | 2008-04-25 |
1639366248 | Advanced Foot & Ankle Center Inc | Clinic/Center | 185 Oak Glenn, Cape Girardeau, MO 63701-8263 | 2007-09-27 |
1538384300 | Tracy M Reed, Dpm,llc | Clinic/Center | 5937 W Florissant Ave, Saint Louis, MO 63136-4952 | 2007-04-16 |
1922144344 | West Plains Foot and Ankle Clinic PC | Clinic/Center | 1566 Imperial Ctr, West Plains, MO 65775-1818 | 2007-01-30 |
1326121633 | Randall Kunze Dpm LLC | Clinic/Center | 1503 Hazel St, Carthage, MO 64836-2829 | 2006-10-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.