ANDERSON FOOT CLINIC
NPI 1982667366
Podiatrist - Foot & Ankle Surgery in Rolla, MO

NPI Status: Active since April 07, 2006

Contact Information

1210 HOMELIFE PLZ
ROLLA, MO
ZIP 65401
Phone: (573) 341-2971
Fax: (573) 341-8174

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 26D1011636
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-15-2027

About ANDERSON FOOT CLINIC

This page provides the complete NPI Profile along with additional information for Anderson Foot Clinic, a provider established in Rolla, Missouri operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1982667366 assigned on April 2006. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 18 years 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 provider's is doing business as Anderson Foot Clinic. The authorized official of this NPI record is Kara Watson (Practice Manager)

NPI
1982667366
Provider Legal Name
MID-MISSOURI FOOT AND ANKLE CENTER
Other Organization Name
ANDERSON FOOT CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1210 HOMELIFE PLZ ROLLA, MO 65401
Location Phone
(573) 341-2971
Location Fax
(573) 341-8174
Mailing Address
PO BOX 130 ROLLA, MO 65402
Mailing Phone
(573) 341-2971
Mailing Fax
(573) 341-8174
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2006
Last Update Date
09-12-2008
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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 Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License State
MO

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KARA WATSON

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(573) 341-2971

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4456200001MEDICARE NSC (07)MO 
990001664MEDICARE PIN (08)MO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D1011636
Facility Type
Physician Office
Certificate Effective Date
April 16, 2025
Certificate Expiration Date
April 15, 2027
Laboratory Director
SHARON R. ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Anderson Foot Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982667366, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 2 + 6 + 1 + 4 + 3 + 1 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1982667366.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
1210 HOMELIFE PLZ
ROLLA, MO 65401
Clinic/Center (Ambulatory Surgical)
1210 HOMELIFE PLZ
ROLLA, MO 65401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982667366, enumerated as an "organization" on April 07, 2006.

The provider is located at 1210 HOMELIFE PLZ ROLLA, MO 65401 and the phone number is (573) 341-2971.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.