1699391946 NPI number — ST LOUIS FOOT AND ANKLE INSTITUTE, LLC

Table of content: DR. ARLENE RATANASIT GRUNSTEIN M.D. (NPI 1437322203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699391946 NPI number — ST LOUIS FOOT AND ANKLE INSTITUTE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST LOUIS FOOT AND ANKLE INSTITUTE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699391946
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
621 S NEW BALLAS RD STE 6011B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63141-8274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-251-7400
Provider Business Mailing Address Fax Number:
314-251-7410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
621 S NEW BALLAS RD STE 6011B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63141-8274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-251-7400
Provider Business Practice Location Address Fax Number:
314-251-7410
Provider Enumeration Date:
06/23/2020

Additional Information

Authorized Official

Authorized Official Last Name:
ARNOLD
Authorized Official First Name:
MEGHAN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PODIATRIST
Authorized Official Telephone Number:
314-251-7400

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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