FOOT SPECIALISTS OF KANSAS CITY, PA (NPI# 1689604050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689604050 |
Entity Type | Organization |
Organization Name | FOOT SPECIALISTS OF KANSAS CITY, PA |
Practice Address |
9119 W 74th St Suite 352 Overland Park KS 66204-2236 |
Practice Telephone | 9136773600 |
Practice Fax Number | 9134327624 |
Mailing Telephone | 9136773600 |
Mailing Fax Number | 9134327624 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2008-05-19 |
Authorized Official Name | STEVEN B. GEDULDIG (PRESIDENT) |
Authorized Official Telephone | 9136773600 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1200184 | KS | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BLUE CROSS BLUE SHIELD | 32555014 | 01 |
Street Address |
9119 W 74TH ST SUITE 352 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66204-2236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
Find all providers in zip 66204 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194847947 | Ali R Davis | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211 | 2007-04-04 |
1861906372 | Foot Clinic, LLC | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211-1315 | 2017-11-20 |
1174072854 | Jeffrey T Roith | Podiatrist | 10600 Quivira Rd, Suite 220, Overland Park, KS 66215-2314 | 2016-09-23 |
1356632111 | Sarah Elizabeth Russell | Podiatrist | 10600 Quivira Rd, #220, Overland Park, KS 66215-2309 | 2011-04-28 |
1518272681 | Andrew Merrick Hall | Podiatrist | 7230 W 129th St, Overland Park, KS 66213-2624 | 2010-08-13 |
1205016979 | Comprehensive Foot Centers P.a. | Podiatrist | 11413 Ash St, Overland Park, KS 66211-1682 | 2007-11-09 |
1659571966 | Sheldon Fleishman D.p.m., P.a. | Podiatrist | 10701 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2007-07-24 |
1710068382 | Kansas City Foot Specialists, Pa | Podiatrist | 7230 W 129th St, Overland Park, KS 66213-2624 | 2006-10-18 |
1255328654 | Mark E Landry | Podiatrist | 10550 Quivira Rd, Suite 260, Overland Park, KS 66215-2375 | 2005-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962859777 | David Sanchez | Podiatrist | 758 S Hillside St Ste 2, Wichita, KS 67211-3038 | 2016-05-21 |
1750752960 | Wichita Foot and Ankle Wound Center | Podiatrist | 220 S Hillside St Ste B, Wichita, KS 67211-2151 | 2015-10-14 |
1861788275 | Thomas Lyman | Podiatrist | 1230 E 6th Ave Ste 2a, Winfield, KS 67156-3145 | 2011-06-23 |
1790965564 | Comprehensive Foot Centers P.a. | Podiatrist | 503 Olive St, Leavenworth, KS 66048-2651 | 2007-11-09 |
1386844967 | Fornelli Feet Pa | Podiatrist | 7224 E Bainbridge Ct, Wichita, KS 67226-1140 | 2007-07-20 |
1588765440 | Lawrence R. Gaston, Jr Dpm Pa | Podiatrist | 5100 Bob Billings Parkway, Suite 100, Lawrence, KS 66049-4094 | 2006-09-25 |
1770534299 | Dan Edward Robinson | Podiatrist | 4101 S 4th Trafficway, 112a, Leavenworth, KS 66048 | 2006-05-12 |
1154398527 | Smoky Valley Foot Center Pa | Podiatrist | 515 Ne 10th St, Abilene, KS 67410-2153 | 2006-03-03 |
1285616375 | Corin Q Wilde | Podiatrist | 407 E Centennial Dr, Pittsburg, KS 66762-6505 | 2005-11-15 |
1619976842 | Lawrence R Gaston Jr. | Podiatrist | 5615 Westfield Dr, Lawrence, KS 66049-3702 | 2005-07-19 |
Find all providers with the same taxonomy |
City | OVERLAND PARK |
Zip Code | 66204 |
Please comment or provide details below to improve the information on FOOT SPECIALISTS OF KANSAS CITY, PA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.