Family Foot Clinic LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

FAMILY FOOT CLINIC LLC

Practice address

106 Butler St Ste a
Macon, MO 63552-1629

Phone

(660) 385-4464

Fax

(660) 385-1449

NPI assigned

Mar 18, 2008

Last updated

Jan 22, 2013By 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

Kathy Beauchamp

Title

Office Manager

Phone

(660) 385-4464

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathon Lee Fallis, DPM

  • Podiatrist
  • Moberly, MO
  • NPI 1659391084
  NPD (past)
• Joseph E Quaranto, DO

  • Family Medicine Physician
  • Macon, MO
  • NPI 1154368413
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1336310341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635520447",
            "telephone_number": "660-385-4464",
            "fax_number": "660-385-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUTLER ST STE A",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521629",
            "telephone_number": "660-385-4464",
            "fax_number": "660-385-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-385-4464"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Delrosario, SPEECH PATHOLOGIST
• Dialysis Clinic Inc
• Alison Dowling
• Katherine Gale Ervie, PAC
• Family Foot Clinic
• Bradley Robert Freidel, D.O.
• Christopher A Froman, RPH
• Iris Ladawn Gaerditz, MA, CCC-SLP
• Lucy Gaston
• Woro George

• Primary Podiatric Medicine Podiatrist in Macon, MO
• Providers in Macon, MO by specialty
• Primary Podiatric Medicine Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.