Provider Demographics
NPI:1629221494
Name:STEVEN FRANK DPM LLC
Entity type:Organization
Organization Name:STEVEN FRANK DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:314-434-9600
Mailing Address - Street 1:12855 N 40 DR STE 175
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8664
Mailing Address - Country:US
Mailing Address - Phone:314-434-9600
Mailing Address - Fax:314-434-9601
Practice Address - Street 1:12855 N 40 DR STE 175
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8664
Practice Address - Country:US
Practice Address - Phone:314-434-9600
Practice Address - Fax:314-434-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000806213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MODP0750OtherRAILROAD MEDICARE
MO6184320001Medicare NSC
MOMA2312Medicare PIN
MOMA1403Medicare PIN