Vincent Louis Travisano, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000459 Issued in MO

Practice address

7509 Big Bend Blvd
Saint Louis, MO 63119-2103

Phone

(314) 961-3113

Fax

(314) 968-7529

NPI assigned

Jan 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Health Group Medical Inc

  • Pain Medicine Physician
  • Fenton, MO
  • NPI 1245642420
  NPD
• BK Podiatry Centers, LLC

  • Durable Medical Equipment & Medical Supplies
  • Webster GRVS, MO
  • NPI 1851987457

  Foot & Ankle Surgery

  NPD (past)
• Mid-West Podiatry and Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Creve Coeur, MO
  • NPI 1609906577

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1932189115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192103",
            "telephone_number": "314-961-3113",
            "fax_number": "314-968-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192103",
            "telephone_number": "314-961-3113",
            "fax_number": "314-968-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVISANO",
        "first_name": "VINCENT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-22",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301841607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Travelstead, LCSW
• Sarah S Travers, MD
• Kelly Travis
• Michael Patrick Travis, D.D.S
• Shaun Travis
• Erica Joy Traxel, MD
• Kelli Traxler, L.C.S.W.
• Sarah Ilonai Traylor, FNP-BC
• Treanaa Transport LLC
• Matthew Treaster, M.D.

• All providers in Saint Louis, MO
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.