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ADVANCED ANKLE AND FOOT SURGEONS LLC NPI 1275773293


NPI Information

NPI: 1275773293
Provider Name: ADVANCED ANKLE AND FOOT SURGEONS, LLC

Former Legal Business Name: AFFILIATED ANKLE AND FOOT SURGEONS

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4905 STONE FALLS CTR STE B
O FALLON, IL
ZIP 62269
Phone: (618) 277-0001
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ADVANCED ANKLE AND FOOT SURGEONS, LLC is a podiatrist in O Fallon, IL. 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. ADVANCED ANKLE AND FOOT SURGEONS, LLC NPI is 1275773293. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Affiliated Ankle And Foot Surgeons.

The provider's business location address is:

4905 STONE FALLS CTR STE B
O FALLON, IL
ZIP 62269-802
Phone: (618) 277-0001
Fax: (618) 277-7339

The provider's authorized official is Michele Taylor .
The authorized official title is Cfo and has the following contact phone number (618) 277-0001.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 3/7/2023.


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
1213E00000XPodiatrist016.004852ILLINOISYes

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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