Mr. Jerry M Liddell is a Saint Louis, Missouri based male podiatrist with 22 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:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
22+ 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:
18 Apr, 2022
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:
Surgeons 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:
1020 N Mason Rd, Div Surg Accs Podiatry, Ste 225 Saint Louis, Missouri
Zip:
63141-6666
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Saint Louis, MO
Dr. Allen M Jacobs, DPM 51+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 6400 Clayton Rd, Ste 402, MO Phone: 314-367-6545 Fax: 314-367-7038