Active NPI
Sedalia Foot Clinic PC
- Foot Surgery Podiatrist
- Sedalia, MO
National Provider Identifier
1174559579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 000587
- Legal business name
- SEDALIA FOOT CLINIC PC
- Practice address
- 519 E 13TH St
Sedalia, MO 65301-5909 - Phone
- (660) 826-5897
- Fax
- (660) 826-4691
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula A Brown
- Title
- Office Manager
- Phone
- (660) 826-5897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 000587 | MO | Primary |
Addresses
Primary practice location
519 E 13TH St
Sedalia, MO 65301-5909
Mailing address
519 E 13TH St
Sedalia, MO 65301-5909
Phone (660) 826-5897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366092807 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435017600000",
"number": "1174559579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 E 13TH ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015909",
"telephone_number": "660-826-5897",
"fax_number": "660-826-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 E 13TH ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015909",
"telephone_number": "660-826-5897",
"fax_number": "660-826-4691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEDALIA FOOT CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2015-06-23",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "660-826-5897",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "MO",
"license": "000587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366092807",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
- School Dist 200 Sedalia
- Mary Kay Schultz, LCSW
- Sherry L Schwartz, RN BSN BC FNP
- Sedalia Eye Associates, P.C.
- Sedalia Eye Associates, P.C.
- Sedalia Health Group, LLC
- Sedalia Internal Medicine Specialists
- Sedalia Internal Medicine Specialists PC
- Sedalia Nursing Home Co (Fair View Nursing Home)
- Sedalia Optometric Clinic, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.