NPIMap

Organization Active NPI

Foot & Ankle Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Pinckneyville, IL
National Provider Identifier
1255344941
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005263 Issued in IL
Legal business name
FOOT & ANKLE CENTER, LLC
Practice address
101 N Walnut St
Pinckneyville, IL 62274-1034
Phone
(618) 357-2187
Fax
(618) 357-3165
NPI assigned
Aug 14, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT & ANKLE CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Louis Aquino, DPM, FACAS
Title
President
Phone
(314) 487-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 016005263 IL Primary

Addresses

Primary practice location

101 N Walnut St
Pinckneyville, IL 62274-1034

Mailing address

1299 Reavis Barracks Rd
Saint Louis, MO 63125-3260
Phone (314) 487-9300

Other names 1

  • Foot & Ankle Center-Pinckneyville Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060301000201 IL Part B Supplier - Clinic/Group Practice 9032180757 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairview Heights, IL; Waterloo, IL; Pinckneyville, IL; Maryville, IL; Granite City, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot Ankle Center LLC13 organizations share this tax ID, including this one
Part of
Foot Ankle Center LLC

Other organizations with this tax ID 12

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e7d5e6b0-b881-4044-96cb-beb927af3b00/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1255344941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 REAVIS BARRACKS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253260",
            "telephone_number": "314-487-9300",
            "fax_number": "314-487-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741034",
            "telephone_number": "618-357-2187",
            "fax_number": "618-357-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT & ANKLE CENTER, LLC",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-487-9300",
        "authorized_official_credential": "DPM, FACAS"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Center-Pinckneyville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pinckneyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.