Podiapedics Foot Surgery & Wound

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PODIAPEDICS FOOT SURGERY & WOUND

Practice address

1035 Bellevue Ave Ste 315
Saint Louis, MO 63117-1845

Phone

(314) 473-1296

Fax

(314) 442-7766

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

John Derrick Harness, DPMNPI 1649272493

Title

Podiatrist

Phone

(314) 473-1296

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Derrick Harness, D.P.M.

  • Podiatrist
  • Overland, MO
  • NPI 1649272493
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1750143210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171845",
            "telephone_number": "314-473-1296",
            "fax_number": "314-442-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171845",
            "telephone_number": "314-473-1296",
            "fax_number": "314-442-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIAPEDICS FOOT SURGERY & WOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "HARNESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "314-473-1296",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMZ, Inc
• Jesse V Poblete, M.D.
• Poc Services LLC
• Emily Lauren Podany, MD
• Joelle Ruth Podgorny, PT, MSPT
• Allison Nicole Podsednik Gardner, MD
• Teresa A Poe, CST/CSFA
• Donna Kaliski Poelker, RN, CPNP
• Kathy Ann Poelker, LPC
• Robert Lee Poeppelmeier Jr., DC

• Foot & Ankle Surgery Podiatrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.