Family Foot Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FAMILY FOOT CLINIC

Practice address

1501 N Missouri St
Macon, MO 63552-1969

Phone

(660) 385-4464

Fax

(660) 385-1449

NPI assigned

Oct 16, 2007

Last updated

Jul 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Beauchamp

Title

Office Manager

Phone

(660) 385-4464

Specialties & licenses 1

Addresses

Locations

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.

• Keith Alan Beauchamp, D.P.M.

  • Podiatrist
  • Macon, MO
  • NPI 1437150117
  NPD (past)
• Jonathon Lee Fallis, DPM

  • Podiatrist
  • Moberly, MO
  • NPI 1659391084
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1104015189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521969",
            "telephone_number": "660-385-4464",
            "fax_number": "660-385-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521969",
            "telephone_number": "660-385-4464",
            "fax_number": "660-385-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-385-4464"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Deline, M.D.
• Don Delrosario, SPEECH PATHOLOGIST
• Dialysis Clinic Inc
• Alison Dowling
• Katherine Gale Ervie, PAC
• Family Foot Clinic LLC
• Bradley Robert Freidel, D.O.
• Christopher A Froman, RPH
• Iris Ladawn Gaerditz, MA, CCC-SLP
• Lucy Gaston

• Podiatrist in Macon, MO
• Providers in Macon, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.