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MISSOURI FOOT AND ANKLE CLINICS P.C. NPI 1255435897


NPI Information

NPI: 1255435897
Provider Name: MISSOURI FOOT AND ANKLE CLINICS, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 26D2218005

Address:
1136 W 40 HWY
BLUE SPRINGS, MO
ZIP 64015
Phone: (816) 224-8660
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MISSOURI FOOT AND ANKLE CLINICS, P.C. is a foot and ankle surgery podiatrist in Blue Springs, MO. MISSOURI FOOT AND ANKLE CLINICS, P.C. NPI is 1255435897. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1136 W 40 HWY
BLUE SPRINGS, MO
ZIP 64015-610
Phone: (816) 224-8660
Fax: (816) 200-9005

The provider's authorized official is Daniel Raymond Hanon .
The authorized official title is Owner and has the following contact phone number (816) 224-8660.

The CLIA number assigned to this NPI record is 26D2218005 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 6/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery000774MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14349950001OTHERDMERC
2506023506MEDICAIDMISSOURI
3CJ9038OTHERRR MCR
44349950001MEDICARE NSC
5L410000AMEDICARE PIN
6U75663MEDICARE UPINMISSOURI
7L410000MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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