Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1871659862

Unknown Individual is a healthcare provider. based in Festus, Missouri. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Unknown Individual is 1871659862

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871659862
Phone
(636) 937-3338
Address
1170 E GANNON DR
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

  • 1170, East Gannon Drive, Festus, River View Township, Jefferson County, Missouri, 63028, United States

    SUITE B

    FESTUS, MO 63028

    Phone: (636) 937-3338

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 63028)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1871659862 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Festus, Missouri as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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