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MERCY CLINIC PODIATRY LLC NPI 1073877395


NPI Information

NPI: 1073877395
Provider Name: MERCY CLINIC PODIATRY LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 26D2284775

Address:
901 PATIENTS FIRST DR
WASHINGTON, MO
ZIP 63090
Phone: (636) 231-3730
Get Directions

MERCY CLINIC PODIATRY LLC is a podiatrist in Washington, MO. The provider is 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. MERCY CLINIC PODIATRY LLC NPI is 1073877395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 PATIENTS FIRST DR
WASHINGTON, MO
ZIP 63090-700
Phone: (636) 231-3730
Fax: (636) 231-3731

The provider's authorized official is John W. Hubert .
The authorized official title is President and has the following contact phone number (314) 251-1560.

The CLIA number assigned to this NPI record is 26D2284775 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2012 and was last updated on 8/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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