North Side Foot Clinic P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000359 Issued in MO

Legal business name

NORTH SIDE FOOT CLINIC P.C.

Practice address

4451 Natural Bridge Ave
Suite 104
Saint Louis, MO 63115-2628

Phone

(314) 385-1590

Fax

(314) 385-1606

NPI assigned

Dec 29, 2008

Last updated

Dec 29, 2008By 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

Dr. Carl E. Hughes Sr., D.P.M.

Title

President

Phone

(314) 385-1590

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1194961953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 NATURAL BRIDGE AVE",
            "address_2": "SUITE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152628",
            "telephone_number": "314-385-1590",
            "fax_number": "314-385-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 NATURAL BRIDGE AVE",
            "address_2": "SUITE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152628",
            "telephone_number": "314-385-1590",
            "fax_number": "314-385-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SIDE FOOT CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-385-1590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1174744320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North County Diagnostic and Interventional Radiology, Inc
• North County Emergency Physicians, LLP
• North County Fire and Rescue Fire Protection District
• North County Health Care, Inc
• North County Orthopaedics, Inc.
• North Valley Nursing & Rehabilitation Center LLC
• Karen Suzanne Northcott, MSW, LCSW
• Amanda Lee Northcutt, PLPC
• Northeast Ambulance and Fire Protection District
• Northeastern Nursing & Rehabilitation Center LLC (Willowbrooke Nursing & Rehabilitation Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.