Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jesse Fischer, CPED, BOCPD

Individual provider Pedorthist · NPI 1689085706

Mr. Jesse Fischer, CPED, BOCPD is a Pedorthist in Saint Louis, Missouri. Licensed in Delaware and Maryland. Registered with an NPI since 2014.

Licensed in
DE, MD
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

11693 Manchester Rd
Saint Louis, MO 63131-4613
Phone: (314) 822-3300
Fax: (314) 822-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X · Licence CPED4080 (DE)
Pedorthist Taxonomy 224L00000X · Licence C51558 (MD)

Record details

NPI number1689085706
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED , BOCPD
Sole proprietorNo
NPI enumeratedMay 12, 2014
Last updated in NPPESMay 12, 2014

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