BLACKMUN FOOTCARE LLC


Address: 2608 N 14th St, Saint Louis, MO 63106-3913
Phone: 3149321570

BLACKMUN FOOTCARE LLC (NPI# 1255620340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255620340
Entity Type Organization
Organization Name BLACKMUN FOOTCARE LLC
Practice Address 2608 N 14th St
Saint Louis
MO 63106-3913
Mailing Address Po Box 23359
Saint Louis
MO 63156-3359
Practice Telephone 3149321570
Mailing Telephone 3149321570
Enumeration Date 2011-03-29
Last Update Date 2016-04-05
Authorized Official Name DR. ANNESSA RENEE' BLACKMUN (OWNER)
Authorized Official Telephone 5024184809
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
2010035799 MO Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 2608 N 14TH ST
City SAINT LOUIS
State MO
Zip Code 63106-3913

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770027997 Superior Manor of Downtown LLC Assisted Living Facility 1501 Clinton St., St Louis, MO 63106 2016-12-07
1811361454 James Preston Jr. Pharmacist 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 2015-11-19
1245656354 Julie Marie Albsmeyer Physician Assistant 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 2014-03-13
1932523230 Cathy Yeung Registered Nurse 715 N Grand Blvd., St Louis, MO 63106 2014-02-07
1902149388 Amanda Foley Doula 4056 Humphrey Street, Saint Louis, MO 63106 2013-04-03
1942569876 Cornelia Charles Internal Medicine 915 Norh Grand Blvd, Saint Louis, MO 63106 2012-05-12
1124334396 Kasandra Ann Tinajero Registered Nurse 915 N. Grand Blvd., St. Louis, MO 63106 2010-08-26
1366673931 Cassandra Vernetta Talbert Social Worker 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 2009-07-30
1497910707 Robert Louis Tillman Pharmacy Technician 915 N Grand Ave, St. Louis, MO 63106 2008-07-25
1861676686 Bradley Dean Overmeyer Social Worker 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 2007-12-28
Find all providers in zip 63106

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851923023 Center for Advanced Foot & Ankle Surgery, Inc. Podiatrist 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 2020-02-06
1518486885 Sunflower Podiatry and Wellness Podiatrist 1316 Hebert Street, Saint Louis, MO 63107 2017-09-18
1669745501 West County Foot and Ankle LLC Podiatrist 10004 Kennerly Rd Ste 300a, Saint Louis, MO 63128 2012-02-22
1053623058 Camille Patrice Ryans Podiatrist 11056 Oak Spur Ct Apt K, Saint Louis, MO 63146-1973 2010-07-07
1437314812 Raymond Angelo Brickhouse Jr. Podiatrist 3535 S Jefferson Ave Ste 201, Saint Louis, MO 63118-3922 2008-07-24
1114068988 Dr. Veda E. Lewis-simmons Dpm Mha LLC Podiatrist 10421 W Florissant Ave, Saint Louis, MO 63136-2342 2007-02-12
1346389095 Foot & Ankle Center, LLC Podiatrist 11066 Olive Blvd, Saint Louis, MO 63141-7615 2007-02-06
1548325533 Mid-west Podiatry & Associates, LLC Podiatrist 2 Millstone Campus Dr, Saint Louis, MO 63146-5776 2006-12-27
1477668606 Nicolas Clay Martin Podiatrist 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 2006-08-20
1275589038 Vincent J Staschiak Podiatrist 8637 Delmar Blvd, Saint Louis, MO 63124-1906 2006-05-25
Find all providers in SAINT LOUIS

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City SAINT LOUIS
Zip Code 63106

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Dataset Information

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.

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