OrganizationActive
Advanced Ankle and Foot Surgeons, LLC
NPI 1245563501 · Podiatrist · O Fallon, IL
Provider details
- NPI number
- 1245563501
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michele Taylor, Cfo(618) 960-1836
- License
- 016.004852 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4905 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Phone: (618) 277-0001
Fax: (618) 277-7339
Approximate (ZIP-level) locationGet directions
Mailing address
4905 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Additional practice locations (2)
- 4600 Memorial Dr Ste 80Belleville, IL 62226-5359Phone: (618) 277-0001Fax: (618) 277-7339
- 4905 Stone Falls Ctr Ste BO Fallon, IL 62269-7802Phone: (618) 277-0001Fax: (618) 277-7339
Registry dates
- Enumerated
- 2009-09-17
- Last updated
- 2019-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.