Edward a. Cline, DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000745 Issued in MO

Legal business name

EDWARD A. CLINE, DPM, PC

Practice address

2305 Georgia St
Louisiana, MO 63353-2559

Phone

(573) 754-4584

Fax

(573) 754-5280

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Cline, DPMNPI 1306849971

Title

Podiatrist

Phone

(573) 754-4584

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Edward a Cline DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edward a. Cline, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Hannibal, MO
  • NPI 1164543591
  NPD tax ID

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.

• Edward A Cline, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hannibal, MO
  • NPI 1306849971
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962523266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 VIRGINIA ST",
            "address_2": "SUITE 278",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013778",
            "telephone_number": "573-221-3266",
            "fax_number": "573-221-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GEORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532559",
            "telephone_number": "573-754-4584",
            "fax_number": "573-754-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. CLINE, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "573-754-4584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096700016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "117516",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tara Dickherber, LPC
• Michelle Drakesmith
• Family Health Pharmacies Inc (Family Drug)
• Family Health Pharmacies, Inc. (Family Drug)
• Reed Frederick Flaherty, RPH
• Angela Theresa Gardner, PT, DPT
• Eric Todd Gearing, D.C.

• Foot & Ankle Surgery Podiatrist in Louisiana, MO
• Providers in Louisiana, 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 Aug 22, 2020; 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.