MID-WEST PODIATRY & ASSOCIATES, L.L.C. (NPI# 1437382181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437382181 |
Entity Type | Organization |
Organization Name | MID-WEST PODIATRY & ASSOCIATES, L.L.C. |
Other Organization Name | MID-WEST PODIATRY |
Practice Address |
300 Health Way Dr Potosi MO 63664-1420 |
Mailing Address |
Po Box 419074 Creve Coeur MO 63141-9074 |
Practice Telephone | 5734385451 |
Practice Fax Number | 3144325105 |
Mailing Telephone | 3144325683 |
Mailing Fax Number | 3149977212 |
Enumeration Date | 2009-08-28 |
Last Update Date | 2009-08-28 |
Authorized Official Name | MS. SANDY PIKE (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 3144325683 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MEDICARE | 000012739 | 01 |
MO | 505905414 | 05 |
Other Name | Type Code |
---|---|
Mid-West Podiatry | Doing Business As Name - Organization |
Street Address |
300 HEALTH WAY DR |
City | POTOSI |
State | MO |
Zip Code | 63664-1420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245224153 | Steven John Grouse | Podiatrist | 300 Health Way Dr, Potosi, MO 63664-1420 | 2005-09-07 |
1720543838 | Kamal Akhtar | Nurse Practitioner | 300 Health Way Dr, Potosi, MO 63664-1420 | 2019-02-02 |
1285124362 | Tammy Jean Reed | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
1346730322 | Michelle Danielle Barnes | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
1285171462 | Kallie Belfield | Nurse Practitioner | 300 Health Way Dr, Potosi, MO 63664-1420 | 2017-01-25 |
1881075349 | Potosi Emergency Group, LLC | Physician Assistant | 300 Health Way Dr, Potosi, MO 63664-1420 | 2015-06-10 |
1144644139 | Carol Deal | Dietitian, Registered | 300 Health Way Dr, Potosi, MO 63664-1420 | 2014-02-11 |
1205064532 | Washington County Memorial Hospital | Clinic/Center | 300 Health Way Dr, Potosi, MO 63664-1420 | 2009-06-25 |
1235394628 | Inderjit Singh, Md, Facp, LLC | Specialist | 300 Health Way Dr, Potosi, MO 63664-1420 | 2008-07-24 |
1174726251 | Washington County Memorial Hospital | General Acute Care Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 | 2007-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083017461 | Carolyn Coyne Maryan | Specialist/Technologist | 400 Mine St., Citadel School, Potosi, MO 63664 | 2014-09-30 |
1205073665 | Potosi Chiropractic Life Center | Chiropractor | 502 North Missouri St., Potosi, MO 63664 | 2009-01-07 |
1932385952 | Simpelo Medical Clinic, P.C. | Internal Medicine | 108 Frizzell, Suite 6, Potosi, MO 63664 | 2008-01-22 |
1760696918 | Brett T Snodgrass | General Practice | 1 Southtowne Dr., Great Mines Health Center, Potosi, MO 63664 | 2007-05-09 |
1710032297 | Washington County Handicapped Services Adult Day Health Care | Day Training, Developmentally Disabled Services | 10604 West Highway E, Potosi, MO 63664 | 2007-01-24 |
1578629473 | Greenlee Chiropractic Inc. | Chiropractor | Greenlee Chiropractic, 417 East High St, Potosi, MO 63664 | 2006-12-28 |
1003981895 | James Daley Robart Jr. | Chiropractor | 912 N Missouri St, Potosi, MO 63664 | 2006-11-21 |
1225063407 | Seth Paskon | Internal Medicine | Potosi Medical Clinic, #1 Kwan Plaza, Potosi, MO 63664 | 2006-07-12 |
1346295607 | Donna Yates | Nurse Practitioner | 600 Purcell Dr, Suite B, Potosi, MO 63664 | 2006-05-24 |
1467424788 | Washington County Memorial Hospital | Clinic/Center | 108 Frizzell Street, Potosi, MO 63664 | 2006-02-02 |
Find all providers in zip 63664 |
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 |
1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
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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.