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BLACKMUN FOOTCARE LLC
NPI 1255620340
Podiatrist - Foot & Ankle Surgery in Saint Louis, MO

Active since March 29, 2011
2608 N 14TH ST, SAINT LOUIS, MO 63106(314) 932-1570 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackmun Footcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKMUN FOOTCARE LLC (NPI 1255620340) is a healthcare organization registered as a foot & ankle surgery in Saint Louis, Missouri and active in the NPI registry since March 2011. The organization lists Annessa Renee' Blackmun, Owner, as its authorized official.

NPPES Registry Identity

NPI1255620340
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBLACKMUN FOOTCARE LLC
Location Address2608 N 14TH STSaint Louis, MO 63106-3913
Mailing AddressPo Box 23359Saint Louis, MO 63156-3359 · (314) 932-1570
Phone(314) 932-1570
Organization SubpartNo
Authorized OfficialAnnessa Renee' BlackmunOwner · (502) 418-4809
Enumeration DateMarch 29, 2011
Last NPPES UpdateApril 5, 2016
✔ NPI 1255620340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MO · 2010035799
2608 N 14TH ST, Saint Louis, MO 63106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackmun Footcare LLC's NPI number?

The NPI number for Blackmun Footcare LLC is 1255620340. It was assigned to this organization in the NPPES registry on March 29, 2011.

Where is Blackmun Footcare LLC located?

Blackmun Footcare LLC is located at 2608 N 14th St, Saint Louis, MO 63106. The listed phone number is (314) 932-1570.

What is Blackmun Footcare LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Blackmun Footcare LLC was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.