Mid-West Podiatry and Associates, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MID-WEST PODIATRY AND ASSOCIATES, LLC

Practice address

851 E 5TH St
Suite 320
Washington, MO 63090-3135

Phone

(636) 239-1633

Fax

(636) 390-8633

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) 432-5683

Specialties & licenses 1

Addresses

Other identifiers 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Olive Ambulatory Surgery Center, LLC

  dba Olive Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
  • NPI 1588739858

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1871658583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST",
            "address_2": "SUITE 320",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903135",
            "telephone_number": "636-239-1633",
            "fax_number": "636-390-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST",
            "address_2": "SUITE 320",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903135",
            "telephone_number": "636-239-1633",
            "fax_number": "636-390-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-WEST PODIATRY AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-432-5683"
    },
    "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": "365905405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Ann Meyer, M.D./AP
• Sharise Meyer, CNM
• Michael J Pernoud DDS PC
• Michelle L. Beumer, PC (Riverside Pediatrics)
• Mid-America Dental Sleep Medicine LLC
• Tracie Adele Miles, MA LPC
• Jacqueline Marie Miller, DDS, MS
• Susan Miller, PT
• Evan Matthew Milner, DO
• Minner & Scheible Chiropractic, LLC

• Foot & Ankle Surgery Podiatrist in Washington, MO
• Providers in Washington, 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 Sep 14, 2017; 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.