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MID-WEST PODIATRY & ASSOCIATES L L C NPI 1689739666


NPI Information

NPI: 1689739666
Provider Name: MID-WEST PODIATRY & ASSOCIATES, L L C
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
500 W PINE ST
FARMINGTON, MO
ZIP 63640
Phone: (573) 756-8986
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MID-WEST PODIATRY & ASSOCIATES, L L C is a foot and ankle surgery podiatrist in Farmington, MO. MID-WEST PODIATRY & ASSOCIATES, L L C NPI is 1689739666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 W PINE ST
FARMINGTON, MO
ZIP 63640-426
Phone: (573) 756-8986
Fax: (573) 756-0419

The provider's authorized official is Hieu Nguyen .
The authorized official title is Administrator and has the following contact phone number (314) 432-1903.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 11/14/2016.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10805730008MEDICARE NSCMISSOURI
2000012739MEDICARE PINMISSOURI
3365905405MEDICAIDMISSOURI
4365905413MEDICAIDMISSOURI

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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