MEDICARE: FAMILY FOOT CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1336310341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOT CLINIC LLC

Provider Business Mailing Address
First Line	:	PO BOX 447
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-0447
Country	:	US
Telephone Number	:	660-385-4464
Fax Number	:	660-385-1449

Provider Business Practice Location Address
First Line	:	106 BUTLER ST STE A
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-1629
Country	:	US
Telephone Number	:	660-385-4464
Fax Number	:	660-385-1449

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KATHY BEAUCHAMP
Credential	:
Telephone Number	:	660-385-4464

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	01/22/2013

Similar Medicare Providers

1437150117 — KEITH ALAN BEAUCHAMP D.P.M.
Practice Location Address:

106 BUTLER ST , SUITE A
MACON, MO
63552-1629

Practice Phone: 660-385-4464
Practice Fax: 660-385-1449

1386636793 — MS. KATHY S ABERNATHY PT
Practice Location Address:

106 BUTLER ST , SUITE C
MACON, MO
63552-1629

Practice Phone: 660-385-6244
Practice Fax: 660-385-4821

1154368413 — JOSEPH E QUARANTO DO
Practice Location Address:

106 BUTLER ST
MACON, MO
63552-1629

Practice Phone: 660-385-3118
Practice Fax: 660-385-4271

1114274503 — DEREK BOND
Practice Location Address:

106 BUTLER ST
MACON, MO
63552-1629

Practice Phone: 660-385-6244
Practice Fax:

1306197918 — MACON REHABILITATION SERVICES, LLC
Practice Location Address:

106 BUTLER ST , SUITE C
MACON, MO
63552-1629

Practice Phone: 660-385-6244
Practice Fax: 660-385-4821

1821091810 — JAMES L DELINE M.D.
Practice Location Address:

307 MCKAY ST
MACON, MO
63552-2029

Practice Phone: 660-385-3141
Practice Fax: 660-385-5866

Directions to “FAMILY FOOT CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.