OrganizationActive
Advanced Ankle and Foot Surgeons, LLC
NPI 1275773293 · Podiatrist · O Fallon, IL
Provider details
- NPI number
- 1275773293
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michele Taylor, Cfo(618) 277-0001
- License
- 016.004852 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Other names (DBA / former)
- Former legal business name
- Affiliated Ankle and Foot Surgeons
- Former legal business name
- Affiliated Ankle and Foot Surgeons
Additional practice locations (1)
- 311 E Hanover StNew Baden, IL 62265-1813Phone: (618) 277-0001Fax: (618) 277-7339
Registry dates
- Enumerated
- 2009-03-03
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.