CENTER FOR ADVANCED FOOT AND ANKLE SURGERY


Address: 1035 Bellevue Ave, Suite 411, Saint Louis, MO 63117-1854
Phone: 3146443433

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Other Provider/Organization Names

Other Name Type Code
Center for Advaned Foot and Ankle Surgery Bellevue Doing Business As Name - Organization

Office Location

Street Address 1035 BELLEVUE AVE
SUITE 411
City SAINT LOUIS
State MO
Zip Code 63117-1854

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAINT LOUIS
Zip Code 63117

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Dataset Information

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.

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