Healthcare Provider Details

I. General information

NPI: 1699797910
Provider Name (Legal Business Name): STEPHEN JAMES FERRO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SW GAGE BLVD T-M112
TOPEKA KS
66622-0001
US

IV. Provider business mailing address

3921 SW CHELMSFORD RD
TOPEKA KS
66610-1446
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-3111
  • Fax: 785-350-4518
Mailing address:
  • Phone: 785-478-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number12-00203
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number12-00203
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: