Organization Active NPI

Suburban Foot Care

  • Foot Surgery Podiatrist
  • Creve Coeur, MO
National Provider Identifier
1619017548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
000410 Issued in MO
Legal business name
SUBURBAN FOOT CARE
Practice address
11709 Old Ballas Rd
Suite 202
Creve Coeur, MO 63141-7029
Phone
(314) 432-5683
Fax
(314) 997-7212
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark P. Comess, D.P.M.
Title
Ownerpodiatrist
Phone
(314) 432-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 000410 MO Primary

Addresses

Primary practice location

11709 Old Ballas Rd
Suite 202
Creve Coeur, MO 63141-7029

Mailing address

11709 Old Ballas Rd
Suite 202
Creve Coeur, MO 63141-7029
Phone (314) 432-5683

National Provider Directory

National Provider Directory

Locations

11709 Old Ballas Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 432-5683

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619017548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 202",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-5683",
            "fax_number": "314-997-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 202",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-5683",
            "fax_number": "314-997-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMESS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNERPODIATRIST",
        "authorized_official_telephone_number": "314-432-5683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MO",
            "license": "000410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • 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.