Jaquan Vassel, C.PED, BOCPD

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CPED4300 Issued in MO

Practice address

7150 Natural Bridge Rd
Saint Louis, MO 63121-5151

Phone

(314) 381-8600

Fax

(314) 381-6844

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vassel'S LLC

  • Pedorthist
  • Saint Louis, MO
  • NPI 1972065688
  NPD Authorized official

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1093241564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215151",
            "telephone_number": "314-381-8600",
            "fax_number": "314-381-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215151",
            "telephone_number": "314-381-8600",
            "fax_number": "314-381-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSEL",
        "first_name": "JAQUAN",
        "credential": "C.PED, BOCPD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "MO",
            "license": "CPED4300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anila Rao Vasireddy, MD
• Sumitra Devi Vasireddy, MD
• Lloyd John Vasquez III, NP-C
• Robert Joseph Vass, LPC
• Nicolette Caroline Vassallo, MD
• Vassel'S LLC
• Kumar Vasudevan, MD
• Anjali Vaswani, LMSW
• Devin Vaswani, M.D.
• Zameer Gautam Vaswani, MD/MBA

• Pedorthist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pedorthist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.