FEET FIRST PODIATRY LLC (NPI# 1700917960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700917960 |
| Entity Type | Organization |
| Organization Name | FEET FIRST PODIATRY LLC |
| Practice Address |
2318 Highway 94 South Outer Rd Saint Charles MO 63303-8301 |
| Practice Telephone | 6364777300 |
| Practice Fax Number | 6369220884 |
| Mailing Telephone | 6364777300 |
| Mailing Fax Number | 6369220884 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. DANIEL ADAMOVSKY (PRESIDENT) |
| Authorized Official Telephone | 6364777300 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2001015897 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 504595208 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Healthcare Drive, Specialty Clinic, Greenville, IL 62246 | 6364777300 | 6369220884 |
| 1021 Wentzville Pkwy, Wentzville, MO 633853437 | 6334777300 | 6369220884 |
| Street Address |
2318 HIGHWAY 94 SOUTH OUTER RD |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511521 | Daniel Adamovsky | Podiatrist | 2318 Highway 94 South Outer Rd, Saint Charles, MO 63303-8301 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083985 | Amod P Paranjpe, Dpm | Podiatrist | 1475 Kisker Rd Ste 260, Saint Charles, MO 63304-8788 | 2007-10-02 |
| 1174653554 | Harry N Bernard | Podiatrist | 34 Green Number 4 Dr, Saint Charles, MO 63303-3336 | 2007-03-06 |
| 1730228958 | Foot & Ankle Center, LLC | Podiatrist | 1519 S Old Highway 94, Saint Charles, MO 63303-3736 | 2007-02-05 |
| 1861906703 | Harness Podiatry Health & Wellness | Podiatrist | 330 1st Capitol Dr Ste 340, Saint Charles, MO 63301-2852 | 2017-11-30 |
| 1700311503 | Jonathan Mathew George | Podiatrist | 1475 Kisker Rd Ste 260, Saint Charles, MO 63304-8788 | 2017-04-29 |
| 1316100290 | Heel To Toe Podiatry LLC | Podiatrist | 1475 Kisker Rd, Suite 260, Saint Charles, MO 63304-8781 | 2008-07-09 |
| 1396925871 | Harry N Bernard Dpm Ltd | Podiatrist | 34 Green Number 4 Dr, Saint Charles, MO 63303-3336 | 2007-11-13 |
| 1801942024 | Foxfield Foot and Ankle Specialists, PC | Podiatrist | 3381 W Main St, Suite 2, Saint Charles, IL 60175-1008 | 2007-01-29 |
| 1285770909 | Anthony Vincent Pollastrini | Podiatrist | 3381 W Main St, Suite 2, Saint Charles, IL 60175-1008 | 2007-01-29 |
| 1457467813 | Rwl, LLC | Podiatrist | 330 1st Capitol Dr, Suite 310, Saint Charles, MO 63301-2835 | 2006-08-21 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
Please comment or provide details below to improve the information on FEET FIRST PODIATRY 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.