Dr. Thomas John Kirisits
Podiatrist
3844 S Lindbergh Blvd Suite 212
Saint Louis
, Missouri 63127-1368
Dr. Thomas John Kirisits
Podiatrist
3844 S Lindbergh Blvd Suite 212
Saint Louis
, Missouri 63127-1368
(314) 849-5656
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Thomas John Kirisits
- 3844 S Lindbergh Blvd Suite 212
- Saint Louis, MO
- Zip : 63127-1368
- Fax : (314) 849-5656
- Phone : (314) 849-2333
Second Address
- Dr. Thomas John Kirisits
- 3844 S Lindbergh Blvd Suite 212
- Saint Louis, MO
- Zip : 63127-1368
- Fax : (314) 849-5656
- Phone : (314) 684-9233
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Is Dr. Thomas John Kirisits a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000547 | MO |
| Y | 222Z00000X | Podiatrist | 000547 | MO |
National Provider Identifier
| NPI | 1053352005 |
|---|---|
| Provider Name | Dr. Thomas John Kirisits |
| First Address | Saint Louis, MO 63127-1368 |
| Second Address | Saint Louis, MO 63127-1368 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 18/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T42814 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.