Bridgeton Foot And Ankle Llc in Bridgeton - Podiatrist
Bridgeton Foot And Ankle Llc - NPI 1205975968
Bridgeton Foot And Ankle Llc is a Podiatrist in Bridgeton, Missouri. Bridgeton Foot And Ankle Llc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bridgeton Foot And Ankle Llc is 1205975968. The last update date is 2009-12-03.
Bridgeton Foot And Ankle Llc's current location address is 12255 De Paul Dr, Bridgeton, Missouri. You can contact this provider via phone number 3147398863 and fax number 3147396448. The mailing address for Bridgeton Foot And Ankle Llc is 12255 De Paul Dr, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridgeton Foot And Ankle Llc |
|---|---|
| Address | 12255 De Paul Dr, Bridgeton, Missouri |
| Phone Number | 3147398863 |
| Fax Number | 3147396448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Lombardo M Anthony |
| Credentials | D.P.M. |
| Telephone Number | 3147398863 |
NPI Number Detail
| NPI Number | 1205975968 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
| Address | 12255 De Paul Dr |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442510 |
| Phone Number | 3147398863 |
| Fax Number | 3147396448 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 551 |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2700030 | MO | UHC | |
| 480034196 | MO | RR MEDICARD | |
| 32B00000X | MO | MEDICAID DME | |
| 2784098 | MO | UHC | |
| P00419552 | MO | RR MEDICARE | |
| 303231500 | MO | -- | |
| 300628401 | MO | -- | |
| 310171750 | MO | MEDICARE CPIN | |
| 504595802 | MO | MEDICAID GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Bridgeton Foot And Ankle Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Bridgeton Foot And Ankle Llc has been assigned the NPI (National Provider Identifier) 1205975968. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Bridgeton Foot And Ankle Llc is physically located?
The Bridgeton Foot And Ankle Llc is physically situated at the following address: 12255 De Paul Dr, Bridgeton, MO, 630442510.
What is Bridgeton Foot And Ankle Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bridgeton Foot And Ankle Llc's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date was the 1205975968 assigned to Bridgeton Foot And Ankle Llc?
The Bridgeton Foot And Ankle Llc was issued its 1205975968 on 2007-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Bridgeton Foot And Ankle Llc last refreshed?
The information related to the Bridgeton Foot And Ankle Llc, including its address, specialty, and other relevant details, was last updated on 2009-12-03.