ADVANCED ANKLE AND FOOT SURGEONS, LLC (NPI# 1275773293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275773293 |
| Entity Type | Organization |
| Organization Name | ADVANCED ANKLE AND FOOT SURGEONS, LLC |
| Other Organization Name | AFFILIATED ANKLE AND FOOT SURGEONS |
| Practice Address |
4600 Memorial Dr Suite 80 Belleville IL 62226-5368 |
| Practice Telephone | 6182770001 |
| Practice Fax Number | 6182777339 |
| Mailing Telephone | 6182770001 |
| Mailing Fax Number | 6182777339 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MICHELE TAYLOR (CFO) |
| Authorized Official Telephone | 6189601836 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016.004852 | IL | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Affiliated Ankle and Foot Surgeons | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4905 Stone Falls Ctr Ste B, O Fallon, IL 622697802 | 6182770001 | 6182777339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245563501 | Advanced Ankle and Foot Surgeons, LLC | Podiatrist | 4905 Stone Falls Ctr Ste B, O Fallon, IL 62269-7802 | 2009-09-17 |
| Street Address |
4600 MEMORIAL DR SUITE 80 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234988 | Ellen Middendorf | Family Medicine | 4600 Memorial Dr, Ste. 160, Belleville, IL 62226-5368 | 2005-06-10 |
| 1922594142 | Keli Nicole Keener | Specialist/Technologist | 4600 Memorial Dr, Belleville, IL 62226-5368 | 2018-07-11 |
| 1952849770 | Kendra Jane Green | Nurse Practitioner | 4600 Memorial Dr, Ste 80, Belleville, IL 62226-5359 | 2017-02-01 |
| 1427504042 | Catherine Bennett | Nurse Practitioner | 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 | 2016-09-01 |
| 1558738237 | Christina Moore | Physician Assistant | 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 | 2015-08-28 |
| 1588056147 | Miranda Boeckman | Physician Assistant | 4600 Memorial Dr, Belleville, IL 62226-5368 | 2015-02-19 |
| 1033510284 | Msa Alliance, LLC Dba-southern Illinois Vascular and Vein Surgery | Surgery | 4600 Memorial Dr, Suite120, Belleville, IL 62226-5368 | 2014-09-08 |
| 1548680267 | Msa Alliance, LLC | Surgery | 4600 Memorial Dr, Suite W2, Belleville, IL 62226-5368 | 2014-04-21 |
| 1770925760 | Msa Alliance, LLC | Internal Medicine | 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 | 2013-07-19 |
| 1982045514 | Ashley A. Wittler | Nurse Practitioner | 4600 Memorial Dr, Ste. 400, Belleville, IL 62226-5368 | 2013-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| 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 |
|---|---|---|---|---|
| 1649627597 | Emily F. Bach | Podiatrist | 2900 Frank Scott Pkwy W Ste 900, Belleville, IL 62223-5000 | 2016-05-20 |
| 1831551555 | Bryan Guignon | Podiatrist | 4600 Memorial Dr Ste 80, Belleville, IL 62226-5359 | 2016-03-22 |
| 1417025446 | Paul A Caputo | Podiatrist | 345 Washington Ave, Belleville, NJ 07109 | 2006-11-30 |
| 1740263219 | Gustav Louis Ibranyi Jr. | Podiatrist | 390 Union Ave, Belleville, NJ 07109-2164 | 2005-11-29 |
| 1235136292 | Dr Brooks | Podiatrist | 6464 W Main St, Suite 7a, Belleville, IL 62223-3811 | 2005-07-06 |
| 1659631398 | C James Anderson Dpm LLC | Podiatrist | 4600 Memorial Dr, Suite 300, Belleville, IL 62226-5368 | 2012-05-28 |
| 1598062036 | Foot Specialists PC | Podiatrist | 11650 Belleville Rd, Belleville, MI 48111-3380 | 2011-02-18 |
| 1053433854 | Affiliated Ankle and Foot Surgeons | Podiatrist | 4600 Memorial Dr, Suite 300, Belleville, IL 62226-5366 | 2007-04-04 |
| 1659449965 | James Drew Taylor | Podiatrist | 4600 Memorial Dr, Suite 80, Belleville, IL 62226-5359 | 2006-12-04 |
| 1548237837 | Jacalyn K Schwarz | Podiatrist | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 | 2006-03-05 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
Please comment or provide details below to improve the information on ADVANCED ANKLE AND FOOT SURGEONS, LLC.
| 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.