FOOT CLINIC, LLC (NPI# 1861906372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861906372 |
| Entity Type | Organization |
| Organization Name | FOOT CLINIC, LLC |
| Practice Address |
4601 W 109th St Ste 314 Overland Park KS 66211-1315 |
| Mailing Address |
713 Sw Estates Dr Lees Summit MO 64082-4552 |
| Practice Telephone | 9133641314 |
| Practice Fax Number | 9133641160 |
| Mailing Telephone | 8165476334 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | DR. ALI DAVIS (PHYSICIAN) |
| Authorized Official Telephone | 8165476334 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
4601 W 109TH ST STE 314 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194847947 | Ali R Davis | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 |
| 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 |
| 1689604050 | Foot Specialists of Kansas City, Pa | Podiatrist | 9119 W 74th St, Suite 352, Overland Park, KS 66204-2236 | 2006-07-03 |
| 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 | 66211 |
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| 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.