| Mid-west Podiatry And Associates, Llc | |
|
11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 | |
| (314) 432-1903 | |
| (314) 432-5105 |
| Full Name | Mid-west Podiatry And Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 11709 Old Ballas Rd, Creve Coeur, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609906577 | NPI | - | NPPES |
| 505905406 | Medicaid | MO | |
| 505905414 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Christian Jon Wunderlich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528015070 PECOS PAC ID: 8527141142 Enrollment ID: I20080205000671 |
| Provider Name | Carmina Quiroga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467466763 PECOS PAC ID: 7719032168 Enrollment ID: I20090908000558 |
| 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 | Brian Gordon Broadhead |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275573081 PECOS PAC ID: 8729084678 Enrollment ID: I20100915000583 |
| Provider Name | Karl Brian Collins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376587535 PECOS PAC ID: 2668364019 Enrollment ID: I20100915000604 |
| Provider Name | Shirley Mae Visser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366697906 PECOS PAC ID: 8921278672 Enrollment ID: I20120807000276 |
| Provider Name | Jared John Visser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174812358 PECOS PAC ID: 2062680564 Enrollment ID: I20120924000505 |
| Provider Name | Brandon A Doser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811284680 PECOS PAC ID: 6305115056 Enrollment ID: I20170712000781 |
| Provider Name | Brittany Ryan Staples |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720512551 PECOS PAC ID: 8123459690 Enrollment ID: I20200518000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-west Podiatry And Associates, Llc Po Box 419074, Creve Coeur, MO 63141-9074 Ph: (314) 432-1903 | Mid-west Podiatry And Associates, Llc 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 Ph: (314) 432-1903 |
Dr. Jared Visser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 | |
Dr. Harry John Visser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 | |
Avalon Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd Ste 266, Creve Coeur, MO 63141 Phone: 305-299-1335 | |
Foot Healers Podiatrist Medicare: Medicare Enrolled Practice Location: 11449 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-989-1700 Fax: 314-989-1710 | |
Dr. Shirley Mae Catoire Visser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5015 | |
Dr. Robert Kelso Duddy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 | |
Dr. Carmina Quiroga, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 |