DR. KELLEY D. FOLTZ (NPI# 1851379234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851379234 |
Entity Type | Individual |
Full Name | DR. KELLEY D. FOLTZ |
Credential | DPM |
Practice Address |
1012 N Main St Sikeston MO 63801-5044 |
Mailing Address |
Po Box 1068 Sikeston MO 63801-1068 |
Practice Telephone | 5734310330 |
Practice Fax Number | 5734722966 |
Mailing Telephone | 5734310330 |
Mailing Fax Number | 5734722966 |
Enumeration Date | 2006-01-05 |
Last Update Date | 2010-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2004004897 | MO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 308362201 | 05 | |
MO | HEALTHLINK NUMBER | 675096 | 01 |
MO | TRICARE NUMBER | 43074141063801A011 | 01 |
MO | BCBS MO NUMBER | 191541 | 01 |
MO | FIRST HEALTH NUMBER | 430741410 | 01 |
Street Address |
1012 N MAIN ST |
City | SIKESTON |
State | MO |
Zip Code | 63801-5044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720079841 | Michael Edward Critchlow | Allergy & Immunology | 1012 N Main St, Sikeston, MO 63801-5044 | 2005-10-31 |
1407494057 | Laurie Hutcheson | Social Worker | 1012 N Main St, Sikeston, MO 63801-5097 | 2019-12-13 |
1588226468 | Allyson Elizabeth Asmus | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5097 | 2019-07-01 |
1497217772 | Melanie Beth Bliese | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801 | 2019-04-04 |
1548729106 | Amber Dawn Towe | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801 | 2019-03-13 |
1013485572 | Saint Francis Medical Center | Psychologist | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-11-02 |
1588131338 | Saint Francis Medical Center | Family Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-10-30 |
1043796758 | Lauren Ashley Bissonnette | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-07-16 |
1891286704 | Leisa Y Blissett | Social Worker | 1012 N Main St, Sikeston, MO 63801-5097 | 2018-05-25 |
1649781832 | Jordan Duenne | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5044 | 2017-10-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
Find all providers in zip 63801 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760460141 | Douglas S. Foltz | Podiatrist | 1012 N Main St, Sikeston, MO 63801-5044 | 2006-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
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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.