MISSOURI PODIATRIC SURGICARE LLC NPI 1447425988

Clinic/Center in Washington, MO

NPI 1447425988 Organization Clinic/Center

About MISSOURI PODIATRIC SURGICARE LLC

Missouri Podiatric Surgicare Llc is a provider established in Washington, Missouri specializing in clinic/center. The NPI number of Missouri Podiatric Surgicare Llc is 1447425988 and was assigned on April 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 000689 (MO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. John M Dailey Dpm, Mba, Facfaom (President)

NPI

1447425988

Provider NameMISSOURI PODIATRIC SURGICARE LLC
Provider Location Address851 E 5TH ST SUITE 228 WASHINGTON, MO 63090
Provider Mailing Address851 E 5TH ST SUITE 228 WASHINGTON, MO 63090
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-25-2008
Last Update Date04-25-2008


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.000689
License StateMO
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

MISSOURI PODIATRIC SURGICARE LLC
851 E 5TH ST
SUITE 228
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-0018

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Mailing Address

MISSOURI PODIATRIC SURGICARE LLC
851 E 5TH ST
SUITE 228
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-0018



Authorized Official

Authorized Official NameDR. JOHN M DAILEY DPM, MBA, FACFAOM
Authorized Official TitlePRESIDENT
Authorized Official Phone(636) 239-0018

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric000689MONo

Taxonomy Description: Not Available

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790781268 MICHELLE L BEUMER
Individual
Pediatrics851 E 5TH ST STE 312
WASHINGTON, MO 63090
(636) 390-9100
1740286210 MARTIN D RUDLOFF MD
Individual
Pediatrics851 E 5TH ST STE 124
WASHINGTON, MO 63090
(636) 390-8880
1154327286 JERRY H ALLEN MD
Individual
Pediatrics851 E 5TH ST STE 300
WASHINGTON, MO 63090
(636) 390-8555
1073590550DR. KATHLEEN A BERNHARD M.D.
Individual
Pediatrics851 E 5TH ST
WASHINGTON, MO 63090
(636) 239-8338
1407820913DR. WILLIAM H FRITZ MD
Individual
Internal Medicine851 E 5TH ST SUITE 304
WASHINGTON, MO 63090
(636) 390-2350
1699710400MERCY PODIATRY LLC
Organization
Podiatrist851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1003843228DR. GARY MICHAEL ROSAS M.D.
Individual
Family Medicine851 E 5TH ST SUITE 208
WASHINGTON, MO 63090
(816) 808-7690
1114931359DR. JON PATRICK LEBSACK D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)851 E 5TH ST STE. 320
WASHINGTON, MO 63090
(636) 239-7150
1487764882 BOBBY VITAYA ENKVETCHAKUL M.D.
Individual
Clinic/Center (Occupational Medicine)851 E 5TH ST SUITE 152
WASHINGTON, MO 63090
(636) 239-0735
1568561678 MUHAMMAD AZIM MIRZA M.D.
Individual
Internal Medicine (Hematology & Oncology)851 E 5TH ST SUITE 108
WASHINGTON, MO 63090
(636) 432-0055
1053498451MRS. LISA ANNE DICKINSON FNP
Individual
Nurse Practitioner (Family)851 E 5TH ST
WASHINGTON, MO 63090
(636) 239-1101
1770623860FRANKLIN COUNTY SURGICAL ASSOCIATES INC
Organization
Surgery851 E 5TH ST SUITE 212
WASHINGTON, MO 63090
(636) 239-4144
1366568891DR. CHRISTY R BLECKMAN M.D.
Individual
Obstetrics & Gynecology851 E 5TH ST SUITE 328
WASHINGTON, MO 63090
(636) 239-1101
1306045174 SHARON A. R. GRIMES RN, MSN, CPNP
Individual
Nurse Practitioner (Pediatrics)851 E 5TH ST #200
WASHINGTON, MO 63090
(636) 239-8585
1922298058RICHARDSON SURGICAL LLC
Organization
Specialist851 E 5TH ST SUITE 120
WASHINGTON, MO 63090
(636) 390-8015
1326228438MISSOURI FOOT AND ANKLE INSTITUTE
Organization
Podiatrist (Foot & Ankle Surgery)851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1184804197MISSOURI PODIATRIC SURGICARE LLC
Organization
Clinic/Center (Ambulatory Surgical)851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1821278839FOOT STORE LLC
Organization
Prosthetic/Orthotic Supplier851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1891969952 JANE A HANCOCK ANP
Individual
Nurse Practitioner (Adult Health)851 E 5TH ST SUITE 304
WASHINGTON, MO 63090
(636) 390-2350
1831364371FOOT STORE LLC
Organization
Durable Medical Equipment & Medical Supplies851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 390-4399

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.