NPIMap

Organization Active NPI

Edward a. Cline, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Hannibal, MO
National Provider Identifier
1164543591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0000745 Issued in MO
Legal business name
EDWARD A. CLINE, DPM, PC
Practice address
109 Virginia St
Suite 278
Hannibal, MO 63401-3778
Phone
(573) 221-3266
Fax
(573) 221-8066
NPI assigned
Apr 3, 2007
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
Dr. Edward A Cline, DPMNPI 1306849971
Title
Podiatrist Owner
Phone
(573) 221-3266

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0000745 MO Primary

Addresses

Primary practice location

109 Virginia St
Suite 278
Hannibal, MO 63401-3778

Mailing address

109 Virginia St
Suite 278
Hannibal, MO 63401-3778
Phone (573) 221-3266

Other identifiers 2

IdentifierTypeStateIssuer
30963700016MedicaidMO
117516OtherMOBLUE CROSS AND BLUE SHIEL

National Provider Directory

National Provider Directory
Tax ID family
Edward a Cline DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164543591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 VIRGINIA ST",
            "address_2": "SUITE 278",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013778",
            "telephone_number": "573-221-3266",
            "fax_number": "573-221-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 VIRGINIA ST",
            "address_2": "SUITE 278",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013778",
            "telephone_number": "573-221-3266",
            "fax_number": "573-221-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. CLINE, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST OWNER",
        "authorized_official_telephone_number": "573-221-3266",
        "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": "0000745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30963700016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "117516",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.