FAMILY FOOT CLINIC LLC (NPI# 1336310341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336310341 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT CLINIC LLC |
| Practice Address |
106 Butler St Ste A Macon MO 63552-1629 |
| Mailing Address |
Po Box 447 Macon MO 63552-0447 |
| Practice Telephone | 6603854464 |
| Practice Fax Number | 6603851449 |
| Mailing Telephone | 6603854464 |
| Mailing Fax Number | 6603851449 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | KATHY BEAUCHAMP (OFFICE MANAGER) |
| Authorized Official Telephone | 6603854464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538679196 | Family Foot Clinic LLC | Podiatrist | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068-4653 | 2017-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY FOOT CLINIC LLC | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068 |
| Street Address |
106 BUTLER ST STE A |
| City | MACON |
| State | MO |
| Zip Code | 63552-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902821242 | Rondrick Eshon Williamson | Podiatrist | 770 Pine St, Suite 300, Macon, GA 31201-2173 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972826071 | Douglas A Krauss Inc | Podiatrist | 11132 S Towne Sq Ste 105, Saint Louis, MO 63123-7818 | 2010-03-04 |
| 1265667802 | Golden Age Footcare | Podiatrist | 323 S. 169 Highway, Gower, MO 64454-9116 | 2009-05-27 |
| 1881766863 | Patrick Anderson Mcshane | Podiatrist | 1834 S Stewart Ave, Springfield, MO 65804-2519 | 2006-11-14 |
| 1174621056 | Robert R Shemwell | Podiatrist | 246 E Hwy 54, Ste A, Camdenton, MO 65020 | 2006-09-21 |
| 1336245125 | Boremy Ly | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2006-09-16 |
| 1710998851 | Roller Enterprises LLC | Podiatrist | 1691 S Business Highway 65, Hollister, MO 65672-6342 | 2006-08-11 |
| 1396701108 | Chris Robert Guerrieri | Podiatrist | 2800 Ne 60th St, Gladstone, MO 64119-2036 | 2006-04-21 |
| 1194703017 | James Thomas Main Jr. | Podiatrist | 1854 Broadway St, Cape Girardeau, MO 63701-4553 | 2006-01-03 |
| 1285636753 | John Orville Roller | Podiatrist | 1691 S Bus Hwy 65, Hollister, MO 65672-6342 | 2005-08-12 |
| 1700085453 | Golden Age Footcare Inc | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2007-07-13 |
| 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.