NORTH SIDE FOOT CLINIC P.C. (NPI# 1194961953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194961953 |
| Entity Type | Organization |
| Organization Name | NORTH SIDE FOOT CLINIC P.C. |
| Practice Address |
4451 Natural Bridge Ave Suite 104 Saint Louis MO 63115-2628 |
| Practice Telephone | 3143851590 |
| Practice Fax Number | 3143851606 |
| Mailing Telephone | 3143851590 |
| Mailing Fax Number | 3143851606 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | DR. CARL E. HUGHES SR. (PRESIDENT) |
| Authorized Official Telephone | 3143851590 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000359 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI NUMBER | 1174744320 | 01 |
| Street Address |
4451 NATURAL BRIDGE AVE SUITE 104 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63115-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023002 | Joshua Kamau Njenga | Nurse Practitioner | 4412 Clarence Avenue, Saint Louis, MO 63115 | 2017-06-20 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1366806051 | Samar Roberson | Home Health | 4307 Steinlage Dr, Saint Louis, MO 63115 | 2016-04-08 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1023466984 | Carestl Health #4 | Durable Medical Equipment & Medical Supplies | 4500 Pope Ave, Saint Louis, MO 63115 | 2016-06-01 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
| 1245721331 | Paul Anthony Matthews Sr. | Home Health Aide | 5165 Ashland Ave, Saint Louis, MO 63115-1014 | 2018-05-23 |
| 1952946857 | Tiffany Nicole Stewart | Home Health | 5116 Greer Ave, Saint Louis, MO 63115-1017 | 2019-11-14 |
| Find all providers in zip 63115 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1760748420 | Robert Lee Bushman | Podiatrist | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-04-07 |
| 1831481910 | Arch Podiatry LLC | Podiatrist | 2228 Hickory St, Saint Louis, MO 63104-2417 | 2011-05-09 |
| 1679887855 | Meghan Marie Arnold | Podiatrist | 621 S New Ballas Rd Ste 6011b, Saint Louis, MO 63141-8274 | 2010-07-30 |
| 1164573812 | Dave Quang Pham | Podiatrist | 2506 Pocahontas Pl, Saint Louis, MO 63144-2108 | 2007-01-16 |
| 1154426195 | Michael D Weiss Dpm and Associates, LLC | Podiatrist | 969 N Mason Rd Ste 180, Saint Louis, MO 63141-6338 | 2006-09-14 |
| 1528176625 | Terrance John Mueller | Podiatrist | 5427 Telegraph Rd, Saint Louis, MO 63129-3555 | 2006-08-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63115 |
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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.