Organization Active NPI

Ofallon Foot Care Center

  • Podiatrist
  • O'Fallon, MO
National Provider Identifier
1316137615
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OFALLON FOOT CARE CENTER
Practice address
4132 Keaton Crossing Blvd
O Fallon, MO 63368-8222
Phone
(636) 300-1114
Fax
(636) 300-1152
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Mark P Comess, DPMNPI 1336154574
Title
Partner
Phone
(636) 300-1114

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

4132 Keaton Crossing Blvd
O Fallon, MO 63368-8222

Mailing address

4132 Keaton Crossing Blvd
O Fallon, MO 63368-8222
Phone (636) 300-1114

National Provider Directory

National Provider Directory

Locations

1585 Woodlake Dr
Ste 200
Chesterfield, MO 63017
Phone (314) 434-7430

4132 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 244-3589

16 Crossroads Plz
O Fallon, MO 63368
Phone (636) 978-7003

Practitioners & affiliated clinicians

Practitioners 2

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1316137615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688222",
            "telephone_number": "636-300-1114",
            "fax_number": "636-300-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688222",
            "telephone_number": "636-300-1114",
            "fax_number": "636-300-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFALLON FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "COMESS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "636-300-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.