FAMILY FOOT CLINIC (NPI# 1104015189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104015189 |
Entity Type | Organization |
Organization Name | FAMILY FOOT CLINIC |
Practice Address |
1501 N Missouri St Macon MO 63552-1969 |
Practice Telephone | 6603854464 |
Practice Fax Number | 6603851449 |
Mailing Telephone | 6603854464 |
Mailing Fax Number | 6603851449 |
Enumeration Date | 2007-10-16 |
Last Update Date | 2011-07-27 |
Authorized Official Name | KATHY BEAUCHAMP (OFFICE MANAGER) |
Authorized Official Telephone | 6603854464 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
1326286493 | Family Foot Clinic | Podiatrist | 702 Plank Rd, South Hill, VA 23970-2414 | 2009-01-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | FAMILY FOOT CLINIC | 215 West 10th Ave, Eugene, OR 97401 |
Washington State Corporations | FAMILY FOOT CLINIC INC. | 205 15th Ave Sw Ste D, Puyallup, WA 98371-7873 |
Oregon Corporations, Companies and Business Names | FAMILY FOOT CLINIC LLC | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068 |
Virginia Business Entities | Family Foot Clinic P.C. | 702 Plank Road, South Hill, Virginia 23970 |
Street Address |
1501 N MISSOURI ST |
City | MACON |
State | MO |
Zip Code | 63552-1969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
Find all providers in zip 63552 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
1083842637 | Irma Wejuli | Podiatrist | 6416 Peake Road, #18, Macon, GA 31210 | 2009-06-22 |
1437396447 | Village Podiatry Group, LLC. | Podiatrist | 3556 Riverside Drive, Macon, GA 31210-2509 | 2009-01-13 |
1104832484 | Katanga Mccoy | Podiatrist | 940 Pio Nono Ave, Macon, GA 31204-4059 | 2006-07-31 |
1780602011 | Consuela Maria Williams-holliday | Podiatrist | 440 Charter Blvd, Ste 2202, Macon, GA 31210-0705 | 2006-07-17 |
1154398402 | Roger Peter Theodore | Podiatrist | 841 Mulberry St, Macon, GA 31201 | 2006-03-07 |
1114901956 | Joseph Michael Union | Podiatrist | 2180 Vineville Ave, Macon, GA 31204-3124 | 2005-12-05 |
1437150117 | Keith Alan Beauchamp | Podiatrist | 106 Butler St, Suite A, Macon, MO 63552-1629 | 2005-08-03 |
1366796930 | Village Podiatry Group, LLC | Podiatrist | 770 Pine St, Ste 300, Macon, GA 31201-2173 | 2012-11-05 |
1922238047 | S.e. Family Foot & Ankle Center LLC | Podiatrist | 841 Mulberry St, Macon, GA 31201-6756 | 2009-07-23 |
Find all providers in MACON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.