Individual provider Active NPI

Meredith B Stuart, DPM

  • Primary Podiatric Medicine Podiatrist
  • Ellisville, MO
National Provider Identifier
1043292840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
9410M1973 Issued in MI
Practice address
16087 Manchester Rd
Ellisville, MO 63011-2103
Phone
(636) 230-3883
Fax
(636) 230-3884
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 9410M1973 MI Primary

Addresses

Primary practice location

16087 Manchester Rd
Ellisville, MO 63011-2103

Mailing address

16087 Manchester Rd
Ellisville, MO 63011-2103
Phone (636) 230-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000521 MO Practitioner - Podiatry 0749292654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil S Snyder DPM PCGroup PAC ID 1355448333, 2 clinicians

Practice addresses (Care Compare)

1224 Graham Rd
Suite 1106
Florissant, MO 63031-8028
Phone (314) 355-2230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue47
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
656MOMDAddiction (Substance Use Disorder) Counselor
9410M1973MIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neil S Snyder DPM PC Primary Podiatric Medicine CurrentSince Jan 25, 2001 Accepting new patients

Locations

16087 Manchester Rd
Ellisville, MO 63011
Phone (636) 230-3883

1224 Graham Rd
Ste 1106
Florissant, MO 63031
Phone (314) 355-2230

5551 Winghaven Blvd
Ste 260
O Fallon, MO 63368
Phone (314) 205-6600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043292840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16087 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112103",
            "telephone_number": "636-230-3883",
            "fax_number": "636-230-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16087 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112103",
            "telephone_number": "636-230-3883",
            "fax_number": "636-230-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "MEREDITH",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "9410M1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

Verify at the official NPI Registry.