Active NPI
Feet First Podiatry LLC
- Foot & Ankle Surgery Podiatrist
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2001015897
- Legal business name
- FEET FIRST PODIATRY LLC
- Practice address
- 2046 Queensbrooke Blvd Ste 100
Saint Peters, MO 63376-7881 - Phone
- (636) 477-7300
- Fax
- (636) 922-0884
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Adamovsky, DPM
- Title
- President
- Phone
- (636) 477-7300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2001015897 | MO | Primary |
Addresses
Primary practice location
2046 Queensbrooke Blvd Ste 100
Saint Peters, MO 63376-7881
Mailing address
2046 Queensbrooke Blvd Ste 100
Saint Peters, MO 63376-7881
Phone (636) 477-7300
Other practice location 1
200 Healthcare Drive
Specialty Clinic
Greenville, IL 62246
Phone (636) 477-7300
Other practice location 2
1021 Wentzville Pkwy
Wentzville, MO 63385-3437
Phone (633) 477-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504595208 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
10441 International Plaza Dr
Saint Ann, MO 63074
Phone (314) 423-0600
2318 Highway 94 South Outer Rd
Saint Charles, MO 63303
Phone (636) 477-7300
2046 Queensbrooke Blvd
Ste 100
Saint Peters, MO 63376
Phone (636) 477-7300
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Creve Coeur, MO
- NPI 1174812358
-
- Podiatrist
- Saint Peters, MO
- NPI 1225724511
-
- Foot & Ankle Surgery Podiatrist
- Chesterfield, MO
- NPI 1679887855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1700917960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 QUEENSBROOKE BLVD STE 100",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767881",
"telephone_number": "636-477-7300",
"fax_number": "636-922-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 QUEENSBROOKE BLVD STE 100",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767881",
"telephone_number": "636-477-7300",
"fax_number": "636-922-0884"
}
],
"practiceLocations": [
{
"address_1": "200 Healthcare Drive",
"address_2": "Specialty Clinic",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "IL",
"postal_code": "62246",
"country_code": "US",
"telephone_number": "636-477-7300",
"fax_number": "636-922-0884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Wentzville Pkwy",
"address_purpose": "LOCATION",
"city": "Wentzville",
"state": "MO",
"postal_code": "633853437",
"country_code": "US",
"telephone_number": "633-477-7300",
"fax_number": "636-922-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FEET FIRST PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "ADAMOVSKY",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-477-7300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2001015897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504595208",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.