Mid-West Podiatry & Associates, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MID-WEST PODIATRY & ASSOCIATES, LLC

Practice address

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029

Phone

(314) 432-1903

Fax

(314) 432-5105

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Pike

Title

Administrator

Phone

(314) 432-1903

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1821153636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-WEST PODIATRY & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-432-1903"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365905413",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365906405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Meyer
• Michael J. O'Connell, DMD, LLC
• Jennifer Bond Michaels
• John Michalka
• Mid-Town Medical Practice, LLC
• Mid-West Podiatry and Associates, LLC
• Midamerica Spine Center, LLC
• Midwest Consulting and Ime
• Midwest Hemorrhoid Treatment Center Town & Country LLC
• Midwest Institute for Addiction, Inc

• Foot & Ankle Surgery Podiatrist in Creve Coeur, MO
• Providers in Creve Coeur, 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 Oct 8, 2009; 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.