DR. PHANN D VU (NPI# 1336141191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336141191 |
| Entity Type | Individual |
| Full Name | DR. PHANN D VU |
| Credential | D.P.M. |
| Practice Address |
5551 Winghaven Blvd Ste 280 O Fallon MO 63368-3629 |
| Practice Telephone | 6366954343 |
| Practice Fax Number | 6366954344 |
| Mailing Telephone | 6366954343 |
| Mailing Fax Number | 6366954344 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2000151902 | MO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5551 WINGHAVEN BLVD STE 280 |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245616309 | Forefront Dermatology, S.c. | Dermatology | 5551 Winghaven Blvd, Suite 210, O Fallon, MO 63368 | 2015-07-30 |
| 1336545391 | Lori Payne | Nurse Practitioner | 5551 Winghaven Blvd, Suite 240, O Fallon, MO 63368-3617 | 2014-11-18 |
| 1972929628 | Jenny Pancer | Nurse Practitioner | 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 | 2014-03-05 |
| 1407295355 | Jenna A Sanders | Nurse Practitioner | 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 | 2013-06-24 |
| 1487924288 | Internal Medicine At Winghaven, LLC | Internal Medicine | 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 | 2012-01-10 |
| 1982889861 | Davis, Wright, Berdy & Suffian PC | Allergy & Immunology | 5551 Winghaven Blvd, Suite 270, O Fallon, MO 63368-3617 | 2008-01-09 |
| 1942491659 | Winghaven Womens Care Inc. | Obstetrics & Gynecology | 5551 Winghaven Blvd, Suite 260, O Fallon, MO 63368-3617 | 2007-08-07 |
| 1700087269 | Katherine Elizabeth Huhn-usry | Family Medicine | 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 | 2007-05-30 |
| 1689796294 | Nelson G Usry | Family Medicine | 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 | 2007-04-04 |
| 1568596922 | Winghaven Pediatrics LLC | Pediatrics | 5551 Winghaven Blvd, O Fallon, MO 63368-3617 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| 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 |
|---|---|---|---|---|
| 1245563501 | Advanced Ankle and Foot Surgeons, LLC | Podiatrist | 4905 Stone Falls Ctr Ste B, O Fallon, IL 62269-7802 | 2009-09-17 |
| 1710053566 | Veda E Lewis-simmons | Podiatrist | 475 Brookhaven Ct, O Fallon, MO 63368-9632 | 2006-11-24 |
| 1871679357 | Ddk Lc | Podiatrist | 300 Winding Woods Drive, Suite 214, O Fallon, MO 63366 | 2006-10-27 |
| 1144214529 | Daniel Douglas Kiddy | Podiatrist | 300 Winding Woods Dr, Ste 214, O Fallon, MO 63366-4771 | 2005-08-31 |
| 1629070487 | Linda L Porter | Podiatrist | 72 Rock Church Dr, O Fallon, MO 63368-8162 | 2005-08-11 |
| 1497128938 | Feet for Miles | Podiatrist | 475 Brookhaven Ct, O Fallon, MO 63368-9632 | 2015-11-05 |
| 1154704344 | Randy Aaranson Dpm LLC | Podiatrist | 2917 Highway K, Suite G, O Fallon, MO 63368-7979 | 2015-07-07 |
| 1952563496 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1871755306 | Ddk, LLC | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1144482688 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| Find all providers in O FALLON | ||||
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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.