CENTER FOR ADVANCED FOOT AND ANKLE SURGERY (NPI# 1740328467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740328467 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ADVANCED FOOT AND ANKLE SURGERY |
| Other Organization Name | CENTER FOR ADVANED FOOT AND ANKLE SURGERY BELLEVUE |
| Practice Address |
1035 Bellevue Ave Suite 411 Saint Louis MO 63117-1854 |
| Mailing Address |
Po Box 78219 Saint Louis MO 63178-8219 |
| Practice Telephone | 3146443433 |
| Mailing Telephone | 3149890300 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | JOHN HOLTZMAN (PARTNER) |
| Authorized Official Telephone | 3146443433 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR ADVANCED FOOT AND ANKLE SURGERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Center for Advaned Foot and Ankle Surgery Bellevue | Doing Business As Name - Organization |
| Street Address |
1035 BELLEVUE AVE SUITE 411 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738019 | William B Guyol Jr. | Internal Medicine | 1035 Bellevue Ave, Suite 105, Saint Louis, MO 63117-1854 | 2005-08-28 |
| 1891135398 | Jennifer Marie Moore | Internal Medicine | 1035 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1854 | 2013-06-28 |
| 1720348600 | Edward W Heidbrier Md PC | Internal Medicine | 1035 Bellevue Ave, Suite 105, Saint Louis, MO 63117-1854 | 2012-05-24 |
| 1831487719 | Dany Varughese Thekkemuriyil | Internal Medicine | 1035 Bellevue Ave, Suite 500, Saint Louis, MO 63117-1854 | 2011-07-13 |
| 1659670552 | Ann M Armstrong | Nurse Practitioner | 1035 Bellevue Ave, Suite 500, Saint Louis, MO 63117-1854 | 2011-03-18 |
| 1245542042 | J.c. Redington, Md Inc | Internal Medicine | 1035 Bellevue Ave, Ste 105, Saint Louis, MO 63117-1854 | 2010-07-08 |
| 1932430097 | April Lampkin | Nurse Practitioner | 1035 Bellevue Ave, Suite 316, Saint Louis, MO 63117-1854 | 2010-01-28 |
| 1265662050 | Erica Edith Martin | Nurse Practitioner | 1035 Bellevue Ave, Suite 502, Saint Louis, MO 63117-1854 | 2009-07-15 |
| 1497983787 | John P Durbin | Internal Medicine | 1035 Bellevue Ave, 400, Saint Louis, MO 63117-1854 | 2009-06-25 |
| 1053547539 | Rishi Kranth Vasireddy | Family Medicine | 1035 Bellevue Ave, Suite 305, Saint Louis, MO 63117-1854 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| 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 | 63117 |
Please comment or provide details below to improve the information on CENTER FOR ADVANCED FOOT AND ANKLE SURGERY.
| 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.