DDK, LC (NPI# 1952563496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952563496 |
| Entity Type | Organization |
| Organization Name | DDK, LC |
| Practice Address |
300 Winding Woods Dr Suite 214 O Fallon MO 63366-4771 |
| Practice Telephone | 6362818393 |
| Practice Fax Number | 6362818393 |
| Mailing Telephone | 6362818393 |
| Mailing Fax Number | 6362818393 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | DANIEL D KIDDY (OWNER) |
| Authorized Official Telephone | 6362818393 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144482688 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1871755314 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| Street Address |
300 WINDING WOODS DR SUITE 214 |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-4771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214529 | Daniel Douglas Kiddy | Podiatrist | 300 Winding Woods Dr, Ste 214, O Fallon, MO 63366-4771 | 2005-08-31 |
| 1104374271 | Amanda Darby | Nurse Practitioner | 300 Winding Woods Dr, O Fallon, MO 63366-4771 | 2016-09-16 |
| 1588892665 | Alyssa Leigh Keller | Family Medicine | 300 Winding Woods Dr, Suite 222, O Fallon, MO 63366-4771 | 2009-06-26 |
| 1093942997 | Leah Rose Glass | Obstetrics & Gynecology | 300 Winding Woods Dr, Suite 200, O Fallon, MO 63366-4771 | 2009-06-18 |
| 1235392788 | Randi H Becker | Family Medicine | 300 Winding Woods Dr, O Fallon, MO 63366-4771 | 2008-07-04 |
| 1871755306 | Ddk, LLC | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1144482688 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1871755314 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1841464625 | Chris Feightner Blanner | Family Medicine | 300 Winding Woods Dr, Suite 222, O Fallon, MO 63366-4771 | 2008-04-14 |
| 1275730111 | Margaretta Lynn Mendenhall | Obstetrics & Gynecology | 300 Winding Woods Dr, Suite 200, O Fallon, MO 63366-4771 | 2007-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245563501 | Advanced Ankle and Foot Surgeons, LLC | Podiatrist | 4905 Stone Falls Ctr Ste B, O Fallon, IL 62269-7802 | 2009-09-17 |
| 1710053566 | Veda E Lewis-simmons | Podiatrist | 475 Brookhaven Ct, O Fallon, MO 63368-9632 | 2006-11-24 |
| 1871679357 | Ddk Lc | Podiatrist | 300 Winding Woods Drive, Suite 214, O Fallon, MO 63366 | 2006-10-27 |
| 1144214529 | Daniel Douglas Kiddy | Podiatrist | 300 Winding Woods Dr, Ste 214, O Fallon, MO 63366-4771 | 2005-08-31 |
| 1629070487 | Linda L Porter | Podiatrist | 72 Rock Church Dr, O Fallon, MO 63368-8162 | 2005-08-11 |
| 1336141191 | Phann D Vu | Podiatrist | 5551 Winghaven Blvd, Ste 280, O Fallon, MO 63368-3629 | 2005-08-11 |
| 1497128938 | Feet for Miles | Podiatrist | 475 Brookhaven Ct, O Fallon, MO 63368-9632 | 2015-11-05 |
| 1154704344 | Randy Aaranson Dpm LLC | Podiatrist | 2917 Highway K, Suite G, O Fallon, MO 63368-7979 | 2015-07-07 |
| 1871755306 | Ddk, LLC | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1144482688 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| Find all providers in O FALLON | ||||
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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.