Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1114082104

Unknown Individual is a healthcare provider. based in Saint peters, Missouri. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Unknown Individual is 1114082104

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114082104
Phone
(636) 916-9525
Address
70 JUNGERMANN CIR
Deactivation Date
13 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 70, Jungermann Circle, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SUITE 201

    SAINT PETERS, MO 633761622

    Phone: (636) 916-9525

    Fax: (314) 432-5105

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63376)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1114082104?
NPI 1114082104 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Saint Peters?
Unknown Individual currently maps to Saint Peters, Missouri in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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