Healthcare Provider Details

I. General information

NPI: 1700180346
Provider Name (Legal Business Name): NEXT STEP FOOT AND ANKLE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 DOUGHERTY FERRY RD SUITE 110
SAINT LOUIS MO
63122-3383
US

IV. Provider business mailing address

3505 COLLEGE AVE SUITE B
ALTON IL
62002-5065
US

V. Phone/Fax

Practice location:
  • Phone: 314-909-1920
  • Fax: 314-909-1980
Mailing address:
  • Phone: 618-462-9695
  • Fax: 618-462-9651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY D BARTH
Title or Position: OWNER
Credential: DPM
Phone: 618-462-9695