Organization Active NPI

S Thomas Sehy D P M L L C

  • Podiatrist
  • Saint Louis, MO
National Provider Identifier
1821060278
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2000161055 Issued in MO
Legal business name
S THOMAS SEHY D P M L L C
Practice address
10430 Page Ave
Saint Louis, MO 63132-1228
Phone
(314) 423-8811
Fax
(314) 423-8824
NPI assigned
Feb 1, 2006
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Stephen Thomas Sehy, DPMNPI 1326040981
Title
Owner
Phone
(314) 423-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2000161055 MO Primary

Addresses

Primary practice location

10430 Page Ave
Saint Louis, MO 63132-1228

Mailing address

10430 Page Ave
Saint Louis, MO 63132-1228
Phone (314) 423-8811

Other identifiers 1

IdentifierTypeStateIssuer
305705824MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041102001011 IL Part B Supplier - Clinic/Group Practice 8426010398 Receives reassigned benefits from 4 practitioners
Practice locations: Centralia, IL
O20080804000107 MO Part B Supplier - Clinic/Group Practice 8426010398 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO
O20161107001671 IL DME Supplier - Physician - Podiatry 8426010398 Practice locations: Mount Vernon, IL

National Provider Directory

National Provider Directory

Locations

213 NW 10th St
Ste C
Fairfield, IL 62837
Phone (618) 842-2082

650 W Taylor St
#2
Vandalia, IL 62471

650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400

Practitioners & affiliated clinicians

Practitioners 5

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1821060278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 PAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321228",
            "telephone_number": "314-423-8811",
            "fax_number": "314-423-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 PAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321228",
            "telephone_number": "314-423-8811",
            "fax_number": "314-423-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S THOMAS SEHY D P M L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "SEHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-423-8811",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2000161055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305705824",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.