NPIMap

Organization Active NPI

Foot & Ankle Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1306985320
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE CENTER, LLC
Practice address
11155 Dunn Rd
Suite 111 N
Saint Louis, MO 63136-6150
Phone
(314) 741-8200
Fax
(314) 741-2838
NPI assigned
Feb 6, 2007
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, MD
Title
Partner
Phone
(314) 487-9300

Specialties & licenses 1

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

Addresses

Primary practice location

11155 Dunn Rd
Suite 111 N
Saint Louis, MO 63136-6150

Mailing address

1299 Reavis Barracks Rd
Saint Louis, MO 63125-3260
Phone (314) 989-0300

Other names 1

  • Foot & Ankle Center, LLC 63127 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001587 MO Part B Supplier - Clinic/Group Practice 9032180757 Receives reassigned benefits from 6 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Charles, MO; Saint Louis, MO

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

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

Other organizations with this tax ID 12

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

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1306985320",
    "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": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "SUITE 111 N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-8200",
            "fax_number": "314-741-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT & ANKLE CENTER, LLC",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-487-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Center, LLC 63127",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

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.