NPIMap

Organization Active NPI

Foot & Ankle Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Saint Charles, MO
National Provider Identifier
1730228958
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE CENTER, LLC
Practice address
1519 S Old Highway 94
Saint Charles, MO 63303-3736
Phone
(636) 947-3668
Fax
(618) 344-8451
NPI assigned
Feb 5, 2007
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THE FOOT AND ANKLE CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Louis Aquino, MD
Title
Partner
Phone
(636) 947-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1519 S Old Highway 94
Saint Charles, MO 63303-3736

Mailing address

PO Box 790379
Saint Louis, MO 63179-0379
Phone (314) 989-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001587 MO Part B Supplier - Clinic/Group Practice 9032180757 Receives reassigned benefits from 6 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Charles, MO; Saint Louis, MO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot Ankle Center LLC13 organizations share this tax ID, including this one
Part of
Foot Ankle Center LLC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1730228958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790379",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790379",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033736",
            "telephone_number": "636-947-3668",
            "fax_number": "618-344-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FOOT AND ANKLE CENTER, LLC",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "636-947-3668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.