NPIMap

Organization Active NPI

Sthomas Sehy DPM LLC

Doing business as Page Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Centralia, IL
National Provider Identifier
1952840845
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005192 Issued in IL
Legal business name
STHOMAS SEHY DPM LLC
Doing business as
Page Foot and Ankle
Practice address
1050 Martin Luther King Dr
Suite 106
Centralia, IL 62801-3060
Phone
(314) 423-8811
Fax
(314) 423-8824
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016005192 IL Primary

Addresses

Primary practice location

1050 Martin Luther King Dr
Suite 106
Centralia, IL 62801-3060

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
305705824MedicaidMO
346767581MedicaidIL

Other names 1

  • Page Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Martin Luther King Dr
Ste 106
Centralia, IL 62801
Phone (618) 532-4465

Practitioners & affiliated clinicians

Practitioners 1

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1952840845",
    "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": "1050 MARTIN LUTHER KING DR",
            "address_2": "SUITE 106",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013060",
            "telephone_number": "314-423-8811",
            "fax_number": "314-423-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STHOMAS SEHY DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "SEHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "314-423-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305705824",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346767581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Page Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, IL

Sources for this page

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