Organization Active NPI

Center for Advanced Foot & Ankle Surgery Inc

  • Foot & Ankle Surgery Podiatrist
  • Arnold, MO
National Provider Identifier
1790823417
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC
Doing business as
Center for Advanced Foot & Ankle Surgery Inc Arnold
Practice address
1515 Astra Way
Arnold, MO 63010-1146
Phone
(636) 296-4051
Fax
(636) 287-9547
NPI assigned
Feb 2, 2007
Organization subpart
Yes
Parent organization
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
John Holtzman, DPM
Title
Partner
Phone
(636) 296-4051

Specialties & licenses 1

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

Addresses

Primary practice location

1515 Astra Way
Arnold, MO 63010-1146

Mailing address

PO Box 771754
Saint Louis, MO 63177-1754
Phone (314) 989-0300

Other names 1

  • Center for Advanced Foot & Ankle Surgery Inc Arnold Doing business as

National Provider Directory

National Provider Directory
Part of
Center for Advanced Foot and Ankle Surgery

Locations

621 S New Ballas Rd
Ste 7005B
Saint Louis, MO 63141
Phone (314) 207-4064

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": "1308009600000",
    "number": "1790823417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771754",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631771754",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ASTRA WAY",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630101146",
            "telephone_number": "636-296-4051",
            "fax_number": "636-287-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "636-296-4051",
        "authorized_official_credential": "DPM"
    },
    "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 Advanced Foot & Ankle Surgery Inc Arnold",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.