FOOT & ANKLE CENTER, LLC (NPI# 1790795904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790795904 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE CENTER, LLC |
| Other Organization Name | FOOT & ANKLE CENTER-FAIRVIEW HEIGHTS |
| Practice Address |
957 Lincoln Hwy Fairview Heights IL 62208-2234 |
| Mailing Address |
1299 Reavis Barracks Rd Saint Louis MO 63125-3260 |
| Practice Telephone | 6186324885 |
| Practice Fax Number | 6186320350 |
| Mailing Telephone | 3144879300 |
| Mailing Fax Number | 3144879338 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | LOUIS AQUINO (PRESIDENT) |
| Authorized Official Telephone | 3144879300 |
| Authorized Official Credential | DPM, FACFAS |
| Is Organization Subpart | Y |
| Parent Organization Name | FOOT & ANKLE CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005263 | IL | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Foot & Ankle Center-Fairview Heights | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346389095 | Foot & Ankle Center, LLC | Podiatrist | 11066 Olive Blvd, Saint Louis, MO 63141-7615 | 2007-02-06 |
| 1730228958 | Foot & Ankle Center, LLC | Podiatrist | 1519 S Old Highway 94, Saint Charles, MO 63303-3736 | 2007-02-05 |
| 1427069665 | Foot & Ankle Center, LLC | Podiatrist | 2013 A Johnson Road, Granite City, IL 62040 | 2006-08-11 |
| 1518261585 | Foot & Ankle Center, LLC | Podiatrist | 15945 Clayton Rd, Suite 220, Ballwin, MO 63011-2490 | 2011-01-05 |
| 1144473364 | Foot & Ankle Center, LLC | Podiatrist | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2008-10-31 |
| 1942427026 | Foot & Ankle Center, LLC | Podiatrist | 5400 N Illinois St, Ste 101, Fairview Heights, IL 62208-3501 | 2007-04-19 |
| 1306985320 | Foot & Ankle Center, LLC | Podiatrist | 11155 Dunn Rd, Suite 111 N, Saint Louis, MO 63136-6150 | 2007-02-06 |
| 1023157328 | Foot & Ankle Center, LLC | Podiatrist | 3844 S Lindbergh Blvd, Suite 220, Saint Louis, MO 63127-1368 | 2007-02-05 |
| 1912073271 | Foot & Ankle Center, LLC | Podiatrist | Rr 1 Box 994, Linton, IN 47441-9496 | 2006-11-28 |
| 1275546962 | Foot & Ankle Center, LLC | Podiatrist | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2006-08-14 |
| Street Address |
957 LINCOLN HWY |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942427026 | Foot & Ankle Center, LLC | Podiatrist | 5400 N Illinois St, Ste 101, Fairview Heights, IL 62208-3501 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
Please comment or provide details below to improve the information on FOOT & ANKLE CENTER, 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.