| |
12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 | |
(314) 849-7600 | |
(314) 842-0106 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 12152 Tesson Ferry Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518938919 | NPI | - | NPPES |
506240001 | Medicaid | MO | |
366240000 | Medicaid | MO | |
507004703 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00724 (Missouri) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Provider Name | Vincent Sollecito |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649236357 PECOS PAC ID: 0749236495 Enrollment ID: I20050324001105 |
Provider Name | Richard W Norlin |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255448114 PECOS PAC ID: 3779520614 Enrollment ID: I20050414000451 |
Provider Name | Kara M Kozlowski |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609854579 PECOS PAC ID: 5991757809 Enrollment ID: I20050503001023 |
Provider Name | Seth M Anderson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770553109 PECOS PAC ID: 7911899356 Enrollment ID: I20050915000062 |
Provider Name | John J Holtzman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851361133 PECOS PAC ID: 8527950971 Enrollment ID: I20050915000072 |
Provider Name | Allen Jacobs |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023115177 PECOS PAC ID: 8325072952 Enrollment ID: I20050928000038 |
Provider Name | Jacob W Lamb |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699794206 PECOS PAC ID: 1557367687 Enrollment ID: I20061130000250 |
Provider Name | Nicolas C Martin |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477668606 PECOS PAC ID: 3577564715 Enrollment ID: I20070130000698 |
Provider Name | Samuel T Wood |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760475974 PECOS PAC ID: 8729058557 Enrollment ID: I20070523000020 |
Provider Name | Timothy J Oldani |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225143480 PECOS PAC ID: 3072612548 Enrollment ID: I20070625000171 |
Provider Name | Carmina Quiroga |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1467466763 PECOS PAC ID: 7719032168 Enrollment ID: I20090908000558 |
Provider Name | Lindsay D Barth |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437142635 PECOS PAC ID: 7517937345 Enrollment ID: I20100817001633 |
Provider Name | Harry John Visser |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285648576 PECOS PAC ID: 9133158496 Enrollment ID: I20100907000505 |
Provider Name | Robert Kelso Duddy |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386650414 PECOS PAC ID: 2264461524 Enrollment ID: I20100908000071 |
Provider Name | Christine M Hawthorne |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093890055 PECOS PAC ID: 7810012697 Enrollment ID: I20100916000913 |
Provider Name | Perry K Geistler |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053429779 PECOS PAC ID: 7416981048 Enrollment ID: I20120227000607 |
Provider Name | Shirley Mae Visser |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366697906 PECOS PAC ID: 8921278672 Enrollment ID: I20120807000276 |
Provider Name | Krista N Nelson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1831324342 PECOS PAC ID: 3375791452 Enrollment ID: I20120914000104 |
Provider Name | Jared John Visser |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1174812358 PECOS PAC ID: 2062680564 Enrollment ID: I20120924000505 |
Provider Name | James David Sills Powell |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689985087 PECOS PAC ID: 5395981179 Enrollment ID: I20130424000150 |
Provider Name | Daniel J Thouvenot |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1881031730 PECOS PAC ID: 9234443359 Enrollment ID: I20150804003106 |
Provider Name | Olaguoke K Akinwande |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1235362252 PECOS PAC ID: 8325210198 Enrollment ID: I20160505002350 |
Provider Name | Mia Chewrie Thouvenot |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1396173753 PECOS PAC ID: 4880962240 Enrollment ID: I20190612001318 |
Provider Name | Brittany Ryan Staples |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720512551 PECOS PAC ID: 8123459690 Enrollment ID: I20200518000360 |
Provider Name | Samantha Daily |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386317253 PECOS PAC ID: 1052701273 Enrollment ID: I20211202001525 |
Provider Name | Rekha Narayanan Kouri |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659995876 PECOS PAC ID: 8729445788 Enrollment ID: I20230606002707 |
Provider Name | Kiera Margaret Benge-shea |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1902421696 PECOS PAC ID: 2062870918 Enrollment ID: I20230624000302 |
Provider Name | Tyler C Reed |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639741945 PECOS PAC ID: 9234570565 Enrollment ID: I20240516003483 |
Provider Name | Daniel W Narowitz |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922686872 PECOS PAC ID: 4789086208 Enrollment ID: I20240607002047 |
Provider Name | Jenna E Brettschneider |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568041648 PECOS PAC ID: 6901208420 Enrollment ID: I20240607002071 |
Mailing Address | Practice Location Address |
---|---|
Po Box 825159, Philadelphia, PA 19182-5159 Ph: (314) 909-1920 | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 Ph: (314) 849-7600 |
Dr. Allen M Jacobs, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6400 Clayton Rd, Ste 402, Saint Louis, MO 63117 Phone: 314-367-6545 Fax: 314-367-7038 | |
Thomas J. Kirisits, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1027 Bellevue Ave, Suite 145, Saint Louis, MO 63117 Phone: 314-644-6663 Fax: 314-644-1354 | |
Raymond A. Brickhouse, Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117 Phone: 314-381-1800 Fax: 866-927-4145 | |
Dr. Lisa A Debernardi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5108 Hampton Ave, Saint Louis, MO 63109 Phone: 314-821-3668 Fax: 888-966-0079 | |
Dr. Perry Kent Geistler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12152 Tesson Ferry Rd, Saint Louis, MO 63128 Phone: 314-849-7600 Fax: 314-842-0106 |