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MID-WEST PODIATRY AND ASSOCIATES LLC NPI 1871658583


NPI Information

NPI: 1871658583
Provider Name: MID-WEST PODIATRY AND ASSOCIATES, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
851 E 5TH ST
SUITE 320
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-1633
Get Directions

MID-WEST PODIATRY AND ASSOCIATES, LLC is a foot and ankle surgery podiatrist in Washington, MO. MID-WEST PODIATRY AND ASSOCIATES, LLC NPI is 1871658583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 E 5TH ST
SUITE 320
WASHINGTON, MO
ZIP 63090-135
Phone: (636) 239-1633
Fax: (636) 390-8633

The provider's authorized official is Sandy Pike .
The authorized official title is Administrator and has the following contact phone number (314) 432-5683.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 9/14/2017.


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
1000012739MEDICARE PINMISSOURI
20805730004MEDICARE NSCMISSOURI
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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