ADVANCED ANKLE AND FOOT SURGEONS, LLC
NPI 1275773293
Podiatrist in O Fallon, IL

Active since March 03, 2009
4905 STONE FALLS CTR STE B, O FALLON, IL 62269(618) 277-0001(618) 277-7339 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Feb 17, 2023, May 29, 2019 (3 updates tracked since 2019).

  • Organization
  • Podiatrist

About ADVANCED ANKLE AND FOOT SURGEONS, LLC

This page provides the complete NPI Profile along with additional information for Advanced Ankle And Foot Surgeons, Llc, a provider established in O Fallon, Illinois operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1275773293 assigned on March 2009. The practitioner's primary taxonomy code is 213E00000X with license number 016.004852 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michele Taylor Jd (Cfo)

NPI
1275773293 Verify this NPI
Provider Name
ADVANCED ANKLE AND FOOT SURGEONS, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
4905 STONE FALLS CTR STE B O FALLON, IL 62269
Location Phone
(618) 277-0001
Location Fax
(618) 277-7339
Mailing Address
4905 STONE FALLS CTR STE B O FALLON, IL 62269
Mailing Phone
(618) 277-0001
Mailing Fax
(618) 277-7339
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2009
Last Update Date
04-21-2025
Code Navigator

A podiatrist like Advanced Ankle And Foot Surgeons, Llc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Secondary Locations

  • 311 E Hanover St
    New Baden, IL 62265
    (618) 277-0001

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
016.004852
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELE TAYLOR JD

Authorized Official Title
CFO
Authorized Official Phone
(618) 277-0001

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
Nurse Practitioner (Family)
4905 STONE FALLS CTR STE B
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275773293, enumerated as an "organization" on March 03, 2009.

The provider is located at 4905 STONE FALLS CTR STE B O FALLON, IL 62269 and the phone number is (618) 277-0001.

Podiatrist with taxonomy code 213E00000X.