Active NPI
Advanced Podiatry, LLC
- Podiatrist
- Saint Peters, MO
National Provider Identifier
1043943038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- ADVANCED PODIATRY, LLC
- Practice address
- 5401 Veterans Memorial Pkwy Ste 102
Saint Peters, MO 63376-1681 - Phone
- (636) 442-1541
- NPI assigned
- Jul 6, 2022
- Last updated
- Jul 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine Besselman, DPM
- Title
- Owner
- Phone
- (636) 352-9072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
5401 Veterans Memorial Pkwy Ste 102
Saint Peters, MO 63376-1681
Mailing address
1301 N 2ND St
Saint Charles, MO 63301-2105
Phone (636) 352-9072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/13289/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Saint Peters, MO
- NPI 1750778619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657065600000",
"number": "1043943038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N 2ND ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012105",
"telephone_number": "636-352-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 VETERANS MEMORIAL PKWY STE 102",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761681",
"telephone_number": "636-442-1541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A",
"authorized_official_last_name": "BESSELMAN",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-352-9072",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.