Warren Ralph Trampe, DPM
Individual provider Active NPI Podiatrist · O Fallon, MO
NPI 1649294752 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1649294752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 000794 (MO)
- Practice address
- 2917 Highway K
Suite G
O Fallon, MO 63368-7979 - Phone
- (636) 240-1127
- Fax
- (636) 240-0041
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2917 Hwy K G
O Fallon, MO 63368-7879
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 197 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000568 | MO | Practitioner - Podiatry | 8426085853 | Practice locations: Ofallon, MO; St Louis, MO |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000794 | MO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S Thomas Sehy D P M L L C | Podiatrist | Current |
Accepting new patients |
| Christopher T. Labonte MD LLC | Past | Accepting new patients | |
| Randy Aaranson DPM LLC | Podiatrist | Past |
Accepting new patients |
| Harry N Bernard DPM LTD | Past | Accepting new patients | |
| S Thomas Sehy D P M L L C | Podiatrist | Past |
Accepting new patients |
Locations
1050 Martin Luther King Dr
Ste 106
Centralia, IL 62801
Phone (618) 532-4465
929 Stacey Burk Dr
Flora, IL 62839
1009 S 42nd St
Unit 5B
Mount Vernon, IL 62864
Phone (618) 241-9411
10430 Page Ave
Saint Louis, MO 63132
Phone (314) 423-8811
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000794 | MO | Yes |
Addresses
Primary practice location
2917 Highway K
Suite G
O Fallon, MO 63368-7979
Mailing address
2917 Highway K
Suite G
O Fallon, MO 63368-7979
Phone (636) 240-1127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305807901 | Medicaid | MO | |
| 480034531 | Other | PALMETTO GBA/RAILROAD MEDICARE |
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.