Mr. Jerry M Liddell
DPM | Podiatrist - Foot & Ankle Surgery | 23+ years Exp
Medicare Enrolled
4901 Forest Park Ave, Div Surg Accs Podiatry, Ste 420, Saint Louis
Missouri, 63108-1495
314-747-4769 888-824-2176
Maps & DirectionsMr. Jerry M Liddell is a Saint Louis, Missouri based podiatrist with 23 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from Kent State University College Of Podiatric Medicine in 2002. He is also affiliated with hospitals like Barnes Jewish Hospital and Christian Hospital Northeast. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jerry M Liddell for Podiatric Foot & Ankle Surgery is 2005018735 in Missouri.
Mr. Jerry M Liddell provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Mr. Jerry M Liddell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatric Foot & Ankle Surgery |
| Credentials: | DPM |
| Experience: | 23+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 2002 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4901 Forest Park Ave, Div Surg Accs Podiatry, Ste 420, Saint Louis, Missouri, 63108-1495 |
| Phone: | 314-747-4769 |
| Fax: | 888-824-2176 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7810929759 |
| Enrollment ID: | I20050831000541 |
| NPI Number: | 1700872611 |
| NPI Enumeration Date: | 26 Sep, 2005 |
| NPI Last Update On: | 17 Apr, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jerry M Liddell are as mentioned below.
| License Number | Specialization | State | Status | |
| 2005018735 | Podiatric Foot & Ankle Surgery | Missouri | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Barnes Jewish Hospital (260032) | Saint louis, MO | Acute Care Hospital |
| Christian Hospital Northeast (260180) | Saint louis, MO | Acute Care Hospital |
| Barnes-jewish West County Hospital (260162) | Creve coeur, MO | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Jerry M Liddell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Washington University (9830008770) | 2368 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jerry M Liddell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 307371203 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 7412011, Chicago, Illinois |
| Zip: | 60674-2011 |
| Phone Number: | 314-747-4769 |
| Fax Number: | 888-824-2176 |
Patients can reach Mr. Jerry M Liddell at
4901 Forest Park Ave, Div Surg Accs Podiatry, Ste 420, Saint Louis, Missouri or can
call to book an appointment on 314-747-4769.
Comments/ Reviews:
Patients can read all the reviews posted for Mr. Jerry M Liddell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mr. Jerry M Liddell. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.