Jerry Liddell, DPM

ActiveIndividual ProviderPodiatry
NPI issued: September 26, 2005

Quick Facts

NPI Number
1700872611
TypeIndividual
StatusActive
SpecialtyPodiatry
Taxonomy213ES0103X — Podiatry
Phone
(314) 747-4769
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1700872611)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 26, 2005)
Data source: CMS NPPES

Provider Overview

JERRY LIDDELL, DPM is a Podiatry provider based in Saint Louis, MO who has been registered with CMS since 2005. They are affiliated with Washington University. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1700872611
Provider TypeIndividual Provider
GenderMale
CredentialDPM
StatusActive
Enumeration DateSeptember 26, 2005

Practice Location

CitySaint Louis
StateMO
ZIP Code63108-1495
Phone(314) 747-4769

Specialties & Licenses

★ Primary
SpecialtyPodiatry
Taxonomy Code213ES0103X
License StateMO

Mailing Address

CitySaint Louis
StateMO
ZIP Code63108-1495
Phone(314) 747-4769
Same as practice location

Hospital & Organization Affiliations

🏢

Washington University

📍 Saint Louis, MO

Hospital NPIY

How to Use This NPI

📋

For Insurance Billing

Use NPI 1700872611 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1700872611for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1700872611 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Podiatry

Specialists in Podiatry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
15,664
Podiatry Providers in the US

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People Also Ask

What is Jerry Liddell's NPI number?
Jerry Liddell's NPI number is 1700872611, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jerry Liddell's NPI currently active?
Yes, Jerry Liddell's NPI status is Active as of the latest CMS NPPES database updates.
What does Jerry Liddell specialize in?
Jerry Liddell specializes in Podiatry. The healthcare taxonomy code associated with this specialty is 213ES0103X.
Where does Jerry Liddell practice?
Jerry Liddell practices in Saint Louis, MO 63108-1495.
When was Jerry Liddell's NPI issued?
Jerry Liddell's NPI was issued on September 26, 2005.
What is Jerry Liddell's provider type?
Jerry Liddell is registered as an Individual Provider under CMS NPI Type 1.