Organization Active NPI

Robert N. Osdyke, Inc

  • Foot & Ankle Surgery Podiatrist
  • Ballwin, MO
National Provider Identifier
1093030173
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000427 Issued in MO
Legal business name
ROBERT N. OSDYKE, INC
Practice address
15421 Clayton Rd
Suite G1
Ballwin, MO 63011-3161
Phone
(636) 207-0444
Fax
(636) 207-0446
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Robert N Osdyke, DPM
Title
Owner
Phone
(636) 207-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000427 MO Primary

Addresses

Primary practice location

15421 Clayton Rd
Suite G1
Ballwin, MO 63011-3161

Mailing address

15421 Clayton Rd
Suite G1
Ballwin, MO 63011-3161
Phone (636) 207-0444

National Provider Directory

National Provider Directory

Locations

15421 Clayton Rd
Ste G1
Ballwin, MO 63011
Phone (314) 639-9475

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1093030173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 CLAYTON RD",
            "address_2": "SUITE G1",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113161",
            "telephone_number": "636-207-0444",
            "fax_number": "636-207-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 CLAYTON RD",
            "address_2": "SUITE G1",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113161",
            "telephone_number": "636-207-0444",
            "fax_number": "636-207-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N. OSDYKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "OSDYKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-207-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.