DR. JOHN DERRICK HARNESS (NPI# 1649272493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649272493 |
| Entity Type | Individual |
| Full Name | DR. JOHN DERRICK HARNESS |
| Credential | D.P.M. |
| Practice Address |
2040 Woodson Rd Suite 202 Overland MO 63114-5606 |
| Practice Telephone | 3144731296 |
| Practice Fax Number | 3145587575 |
| Mailing Telephone | 3144731296 |
| Mailing Fax Number | 3145587575 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2004024287 | MO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2040 WOODSON RD SUITE 202 |
| City | OVERLAND |
| State | MO |
| Zip Code | 63114-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659592160 | Daniel D Seibert Od PC | Optometrist | 2040 Woodson Rd, Suite 100, Overland, MO 63114-5644 | 2007-05-01 |
| 1962481390 | Daniel D Seibert | Optometrist | 2040 Woodson Rd, Suite 100, Overland, MO 63114-3629 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| 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 |
|---|---|---|---|---|
| 1902421696 | Kiera Margaret Benge-shea | Podiatrist | 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 | 2020-06-09 |
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1255727525 | Mobile Podiatry of Kansas, LLC | Podiatrist | 1920 Salter Pl, Kirksville, MO 63501-5165 | 2015-04-13 |
| 1346645496 | Ronald Ethan Freilich | Podiatrist | 25107 Cherokee Ln, Jonesburg, MO 63351-2454 | 2014-10-31 |
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
| Find all providers with the same taxonomy | ||||
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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.