C James Anderson DPM LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Saint Louis, MO
NPI 1760143986 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1760143986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- C JAMES ANDERSON DPM LLC
- Practice address
- 11710 Old Ballas Rd Ste 110
Saint Louis, MO 63141-7076 - Phone
- (618) 277-9533
- Fax
- (618) 277-9540
- NPI assigned
- Jan 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Melissa Bauer
- Title
- Billing Manager
- Phone
- (618) 277-9533
Corporate family (same tax ID) 2
Practitioners 1
National Provider Directory
- Tax ID family
- C James Anderson DPM LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes | ||
| Foot Surgery Podiatrist |
213ES0131X |
Addresses
Primary practice location
11710 Old Ballas Rd Ste 110
Saint Louis, MO 63141-7076
Mailing address
PO Box 3681
Springfield, IL 62708-3681
Phone (618) 277-9533
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All providers in Saint Louis, MO · Foot & Ankle Surgery Podiatrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.