Organization Active NPI

Family Foot and Ankle Care

  • Podiatrist
  • Maryland Heights, MO
National Provider Identifier
1053351882
Registry record updated Aug 22, 2020
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0000713 Issued in MO
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bic Stafford, DPMNPI 1700826534
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

Verify at the official NPI Registry.