NPIMap

Organization Active NPI

Foot & Ankle Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Fairview Heights, IL
National Provider Identifier
1790795904
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005263 Issued in IL
Legal business name
FOOT & ANKLE CENTER, LLC
Practice address
957 Lincoln Hwy
Fairview Heights, IL 62208-2234
Phone
(618) 632-4885
Fax
(618) 632-0350
NPI assigned
Aug 9, 2006
Organization subpart
Yes
Parent organization
FOOT & ANKLE CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Louis Aquino, DPM, FACFAS
Title
President
Phone
(314) 487-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 016005263 IL Primary

Addresses

Primary practice location

957 Lincoln Hwy
Fairview Heights, IL 62208-2234

Mailing address

1299 Reavis Barracks Rd
Saint Louis, MO 63125-3260
Phone (314) 487-9300

Other names 1

  • Foot & Ankle Center-Fairview Heights Other name

National Provider Directory

National Provider Directory
Tax ID family
The Foot and Ankle Center LLC13 organizations share this tax ID, including this one
Part of
The Foot and 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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1790795904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 REAVIS BARRACKS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253260",
            "telephone_number": "314-487-9300",
            "fax_number": "314-487-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 LINCOLN HWY",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082234",
            "telephone_number": "618-632-4885",
            "fax_number": "618-632-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT & ANKLE CENTER, LLC",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-487-9300",
        "authorized_official_credential": "DPM, FACFAS"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Center-Fairview Heights",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairview Heights, IL

Sources for this page

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