Central Missouri Podiatry Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CENTRAL MISSOURI PODIATRY INC

Practice address

1701 S Lafayette Ave
Sedalia, MO 65301-7541

Phone

(660) 827-6311

Fax

(660) 827-5183

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By 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. Anthony S Sikoutris, DPMNPI 1538141486

Title

Doctor

Phone

(660) 827-6311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

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.

• Anthony S Sikoutris, DPM

  • Foot Surgery Podiatrist
  • Sedalia, MO
  • NPI 1538141486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1619154143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017541",
            "telephone_number": "660-827-6311",
            "fax_number": "660-827-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017541",
            "telephone_number": "660-827-6311",
            "fax_number": "660-827-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSOURI PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SIKOUTRIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "660-827-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet S Chance-Hetzler, DNP, MSN, RN, APRN
• Joel David Chappell, DDS
• Sarah Elizabeth Cheatham, ATC

• Prosthetic/Orthotic Supplier in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.