Active NPI
Mid-Missouri Foot and Ankle Center
Doing business as Anderson Foot Clinic
- Foot & Ankle Surgery Podiatrist
- Rolla, MO
National Provider Identifier
1982667366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- MID-MISSOURI FOOT AND ANKLE CENTER
- Doing business as
- Anderson Foot Clinic
- Practice address
- 1210 Homelife PLZ
Rolla, MO 65401-2512 - Phone
- (573) 341-2971
- Fax
- (573) 341-8174
- NPI assigned
- Apr 7, 2006
- Last updated
- Sep 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Watson
- Title
- Practice Manager
- Phone
- (573) 341-2971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MO | Primary |
Addresses
Primary practice location
1210 Homelife PLZ
Rolla, MO 65401-2512
Mailing address
PO Box 130
Rolla, MO 65402-0130
Phone (573) 341-2971
Other names 1
- Anderson Foot Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1011636 | Mid Missouri Foot & Ankle Ctr Inc | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
35629 Highway 72
Ste 2
Salem, MO 65560
202 N Lynn St
Waynesville, MO 65583
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Rolla, MO
- NPI 1417919432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221177600000",
"number": "1982667366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "ROLLA",
"state": "MO",
"postal_code": "654020130",
"telephone_number": "573-341-2971",
"fax_number": "573-341-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 HOMELIFE PLZ",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012512",
"telephone_number": "573-341-2971",
"fax_number": "573-341-8174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-MISSOURI FOOT AND ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2008-09-12",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "573-341-2971"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Foot Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rolla, MO
- Mercy Hospital Springfield (Mercy Pharmacy-Rolla)
- Mercy Pharmacy Services, LLC (Mercy Pharmacy Rolla)
- Derrick Meyers, PHD, BA
- Mi Serenity
- Nathan Micklautz, CRNA
- Mid-Missouri Internal Medicine Inc
- Mid-Mo O&P LLC (Hitek Limb and Brace)
- Angela Christine Middleton, FNP-BC, CEN
- Midwest Chiropractic Center LLC
- Midwest Heart Group of Rolla, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.