Active NPI
Metro Foot Specialists LLC
- Foot & Ankle Surgery Podiatrist
- Eureka, MO
National Provider Identifier
1336127208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- METRO FOOT SPECIALISTS LLC
- Practice address
- 521 N Virginia Ave
Eureka, MO 63025-1115 - Phone
- (636) 938-5006
- Fax
- (636) 587-3774
- NPI assigned
- Jan 2, 2006
- Last updated
- Nov 4, 2016
- 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
- Dr. Kra M Kozlowski, DPM,
- Title
- DPM, Facfas
- Phone
- (636) 938-5006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
521 N Virginia Ave
Eureka, MO 63025-1115
Mailing address
62 E North St Ste 101
Eureka, MO 63025-1205
Phone (636) 938-5006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367176203 | Medicaid | MO | |
| 367346509 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
3927 Solutions Ctr
Chicago, IL 60677
62 E North St
Ste 101
Eureka, MO 63025
Phone (573) 783-7061
1747 Smizer Station Rd
Ste 3A
Fenton, MO 63026
Phone (636) 225-8855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478217600000",
"number": "1336127208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 E NORTH ST STE 101",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251205",
"telephone_number": "636-938-5006",
"fax_number": "636-587-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N VIRGINIA AVE",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251115",
"telephone_number": "636-938-5006",
"fax_number": "636-587-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO FOOT SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-02",
"last_updated": "2016-11-04",
"status": "A",
"authorized_official_last_name": "KOZLOWSKI",
"authorized_official_first_name": "KRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DPM, FACFAS",
"authorized_official_telephone_number": "636-938-5006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM,"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367176203",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367346509",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, MO
- Arthur J McAlister, MPT
- Brenda McCarthy, MOT
- Kathleen A McEntee
- Mercer Physical Therapy LLC
- Maryann Mercier, BCBA, LBA
- Michael W. Noble, DMD, PC (Oral Facial Surgery Institute)
- Robert Bradley Michaels, M.D.
- Christopher A Michalek, LCSW
- Rebecca Ann Michels, DO
- Mid America Healthcare LP (Marymount Manor Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.