FOOT & ANKLE CENTER, LLC (NPI# 1366408205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366408205 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE CENTER, LLC |
| Practice Address |
1299 Reavis Barracks Rd Saint Louis MO 63125-3260 |
| Practice Telephone | 3144879300 |
| Practice Fax Number | 3144870120 |
| Mailing Telephone | 3144879300 |
| Mailing Fax Number | 3144879338 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | LOUIS AQUINO (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3144879300 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0000481 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016003754 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004898 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2004019390 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005263 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2001012399 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000540 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004166 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000806 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DMERC ST CHARLES | 4461710003 | 01 |
| MO | MEDICARE DMERC SUNSET HIL | 4461710006 | 01 |
| IL | MEDICARE DMERC FH | 4461710008 | 01 |
| IL | MEDICARE DMERC WATERLOO | 4461710009 | 01 |
| IL | MEDICARE DMERC GC | 4461710007 | 01 |
| MO | DMERC MO BAP | 4461710002 | 01 |
| MO | MEDICARE DMERC LSTL | 4461710005 | 01 |
| MO | MEDICARE DMERC N COUNTY | 4461710004 | 01 |
| IL | MEDICARE DMERC PINCKNEY | 4461710010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346389095 | Foot & Ankle Center, LLC | Podiatrist | 11066 Olive Blvd, Saint Louis, MO 63141-7615 | 2007-02-06 |
| 1730228958 | Foot & Ankle Center, LLC | Podiatrist | 1519 S Old Highway 94, Saint Charles, MO 63303-3736 | 2007-02-05 |
| 1427069665 | Foot & Ankle Center, LLC | Podiatrist | 2013 A Johnson Road, Granite City, IL 62040 | 2006-08-11 |
| 1790795904 | Foot & Ankle Center, LLC | Podiatrist | 957 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2006-08-09 |
| 1518261585 | Foot & Ankle Center, LLC | Podiatrist | 15945 Clayton Rd, Suite 220, Ballwin, MO 63011-2490 | 2011-01-05 |
| 1144473364 | Foot & Ankle Center, LLC | Podiatrist | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2008-10-31 |
| 1942427026 | Foot & Ankle Center, LLC | Podiatrist | 5400 N Illinois St, Ste 101, Fairview Heights, IL 62208-3501 | 2007-04-19 |
| 1306985320 | Foot & Ankle Center, LLC | Podiatrist | 11155 Dunn Rd, Suite 111 N, Saint Louis, MO 63136-6150 | 2007-02-06 |
| 1023157328 | Foot & Ankle Center, LLC | Podiatrist | 3844 S Lindbergh Blvd, Suite 220, Saint Louis, MO 63127-1368 | 2007-02-05 |
| 1912073271 | Foot & Ankle Center, LLC | Podiatrist | Rr 1 Box 994, Linton, IN 47441-9496 | 2006-11-28 |
| Street Address |
1299 REAVIS BARRACKS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255396180 | Gregory Kranzusch | Podiatrist | 1299 Reavis Barracks Rd, Saint Louis, MO 63125-3260 | 2006-04-20 |
| 1073928164 | Zachary Alexander Zobens | Podiatrist | 1299 Reavis Barracks Rd, Saint Louis, MO 63125-3260 | 2014-06-26 |
| 1386609204 | David L Amarnek | Podiatrist | 1299 Reavis Barracks Rd, Saint Louis, MO 63125-3260 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1255620340 | Blackmun Footcare LLC | Podiatrist | 2608 N 14th St, Saint Louis, MO 63106-3913 | 2011-03-29 |
| 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 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63125 |
Please comment or provide details below to improve the information on FOOT & ANKLE CENTER, LLC.
| 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.