Active NPI
Foot Healers Holdings - St. Louis, LLC
- Podiatrist
- Saint Peters, MO
National Provider Identifier
1982845160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT HEALERS HOLDINGS - ST. LOUIS, LLC
- Practice address
- 203 Salt Lick Rd
Saint Peters, MO 63376-5974 - Phone
- (636) 279-1900
- Fax
- (636) 279-1013
- NPI assigned
- Mar 17, 2009
- Organization subpart
- Yes
- Parent organization
- FOOT HEALERS HOLDINGS - ST. LOUIS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Murray
- Title
- President
- Phone
- (314) 550-3805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
203 Salt Lick Rd
Saint Peters, MO 63376-5974
Mailing address
PO Box 28223
Saint Louis, MO 63132-0223
Phone (314) 550-3805
Other names 1
- Foot Healers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097150 | MO | DME Supplier - Physician - Podiatry | 1355319252 | Practice locations: Saint Peters, MO |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Foot Healers Holdings - St
- Part of
- Foot Healers Holdings - St
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Creve Coeur, MO
- NPI 1336380518
-
- Podiatrist
- Saint Louis, MO
- NPI 1619118890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1982845160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28223",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631320223",
"telephone_number": "314-550-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 SALT LICK RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765974",
"telephone_number": "636-279-1900",
"fax_number": "636-279-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT HEALERS HOLDINGS - ST. LOUIS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOOT HEALERS HOLDINGS - ST. LOUIS, LLC",
"enumeration_date": "2009-03-17",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-550-3805",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot Healers",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.