Active NPI
Family Foot and Ankle Care
- Podiatrist
- Maryland Heights, MO
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective May 4, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0000713
- Legal business name
- FAMILY FOOT AND ANKLE CARE
- Practice address
- 11352 Dorsett Rd # a
Maryland Heights, MO 63043-3412 - Phone
- (314) 289-8777
- NPI assigned
- Jun 8, 2006
- 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
- Bic Stafford, DPM
- Title
- Owner
- Phone
- (314) 298-8777
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 | 0000713 | MO | Primary |
Addresses
Primary practice location
11352 Dorsett Rd # a
Maryland Heights, MO 63043-3412
Mailing address
11352 Dorsett Rd # a
Maryland Heights, MO 63043-3412
Phone (314) 289-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
11352 Dorsett Rd
#A
Maryland Heights, MO 63043
Phone (314) 289-8777
6566 Manchester Ave
Saint Louis, MO 63139
Phone (314) 645-2411
9804 Manchester Rd
Saint Louis, MO 63119
Phone (314) 962-3313
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Podiatrist
- Maryland Heights, MO
- NPI 1700826534
-
- Foot & Ankle Surgery Podiatrist
- Florissant, MO
- NPI 1649200502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053351882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11352 DORSETT RD # A",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433412",
"telephone_number": "314-289-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11352 DORSETT RD # A",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433412",
"telephone_number": "314-289-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FOOT AND ANKLE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "BIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-298-8777",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MO",
"license": "0000713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryland Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.