NPIMap

Organization Active NPI

Center for Advanced Foot & Ankle Surgery Inc

  • Foot & Ankle Surgery Podiatrist
  • Ballwin, MO
National Provider Identifier
1447568043
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC
Practice address
15945 Clayton Rd
Ballwin, MO 63011-2146
Phone
(636) 256-5298
NPI assigned
Sep 16, 2010
Organization subpart
Yes
Parent organization
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
John J Holtzman, DPM
Title
Partner
Phone
(314) 991-3668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X MO Primary
Durable Medical Equipment & Medical Supplies 332B00000X MO

Addresses

Primary practice location

15945 Clayton Rd
Ballwin, MO 63011-2146

Mailing address

PO Box 771754
Saint Louis, MO 63177-1754
Phone (314) 872-1332

Other names 1

  • MO Foot & Ankle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Advanced Foot and Ankle Surgery3 organizations share this tax ID, including this one
Part of
Center for Advanced Foot and Ankle Surgery

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1447568043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771754",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631771754",
            "telephone_number": "314-872-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112146",
            "telephone_number": "636-256-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-991-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MO Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.