St Charles Foot Care Center, Terry L. Gamache, DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000344 Issued in MO

Legal business name

ST CHARLES FOOT CARE CENTER, TERRY L. GAMACHE, DPM, PC

Practice address

110 S Kingshighway St
Saint Charles, MO 63301-1636

Phone

(636) 946-9399

Fax

(636) 946-1972

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By 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

Dr. Terry L Gamache, DPM

Title

Owner

Phone

(636) 946-9399

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John Derrick Harness, D.P.M.

  • Podiatrist
  • Overland, MO
  • NPI 1649272493
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457431942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S KINGSHIGHWAY ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011636",
            "telephone_number": "636-946-9399",
            "fax_number": "636-946-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S KINGSHIGHWAY ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011636",
            "telephone_number": "636-946-9399",
            "fax_number": "636-946-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES FOOT CARE CENTER, TERRY L. GAMACHE, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMACHE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-946-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSM St. Joseph Surgery Center, LLC (The Surgery Center at St. Joseph Medical Park)
• Ssmdepaul Medical Group
• Scott C St Amour, M.D.
• St Charles Emergency Group LLC
• St Charles Eye Center Inc
• St Charles Health Care LLC (Frontier Health & Rehabilitation)
• St Charles Lactation Care & Support LLC
• St Charles Opco LLC (Windsor Estates of St. Charles)
• St Charles Optical Company
• St Charles Orthopaedic Surgery Associates Inc.

• Podiatrist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.