Special Care Podiatry of Missouri, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SPECIAL CARE PODIATRY OF MISSOURI, LLC

Practice address

3714 Kidron St
Jackson, MO 63755-3345

Phone

(502) 244-2441

Fax

(502) 254-4086

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Leah Francis

Title

Credentialing Coordinator

Phone

(502) 244-2441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1972922060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431593",
            "telephone_number": "502-244-2441",
            "fax_number": "502-254-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 KIDRON ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553345",
            "telephone_number": "502-244-2441",
            "fax_number": "502-254-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE PODIATRY OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "502-244-2441"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sounds of Mind Counseling (Matthew Tompkins)
• Southeast Behavior Intervention & Consultation
• Southeast Hospital (Mercy Pharmacy Jackson)
• Southeast Missouri Network Against Sexual Violence Inc.
• Garrett S Sparks, DDS
• Speech Pathology Associates
• Steven L Horst (Horst Pharmacy)
• Steven L Horst (Horst Pharmacy)
• Angela Stillwell, LPC
• Matthew Stoelb, PH.D., BCBA

• Podiatrist in Jackson, MO
• Providers in Jackson, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.