NPIMap

Organization Active NPI

Center for Advanced Foot and Ankle Surgery

Doing business as Center for Advaned Foot and Ankle Surgery Bellevue

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1740328467
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CENTER FOR ADVANCED FOOT AND ANKLE SURGERY
Doing business as
Center for Advaned Foot and Ankle Surgery Bellevue
Practice address
1035 Bellevue Ave
Suite 411
Saint Louis, MO 63117-1854
Phone
(314) 644-3433
NPI assigned
Feb 2, 2007
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR ADVANCED FOOT AND ANKLE SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
John Holtzman, DONPI 1851361133
Title
Partner
Phone
(314) 644-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1035 Bellevue Ave
Suite 411
Saint Louis, MO 63117-1854

Mailing address

PO Box 78219
Saint Louis, MO 63178-8219
Phone (314) 989-0300

Other names 1

  • Center for Advaned Foot and Ankle Surgery Bellevue Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Advanced Foot and Ankle Surgery3 organizations share this tax ID, including this one
Part of
Center for Advanced Foot and Ankle Surgery

Other organizations with this tax ID 2

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

Locations

1035 Bellevue Ave
Ste 411
Saint Louis, MO 63117
Phone (314) 644-0718

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1740328467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631788219",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 411",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171854",
            "telephone_number": "314-644-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED FOOT AND ANKLE SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ADVANCED FOOT AND ANKLE SURGERY",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-644-3433",
        "authorized_official_credential": "DO"
    },
    "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": [
        {
            "organization_name": "Center for Advaned Foot and Ankle Surgery Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.