PIVOTAL FOOT AND ANKLE SURGEONS LLC NPI 1356958276

NPI Information

NPI: 1356958276
Provider Name: PIVOTAL FOOT AND ANKLE SURGEONS LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1005 W SAINT MAARTENS DR STE A
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 364-2338
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PIVOTAL FOOT AND ANKLE SURGEONS LLC is a foot and ankle surgery podiatrist in Saint Joseph, MO. PIVOTAL FOOT AND ANKLE SURGEONS LLC NPI is 1356958276. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1005 W SAINT MAARTENS DR STE A
SAINT JOSEPH, MO
ZIP 64506-989
Phone: (816) 364-2338
Fax: (816) 364-1003

The provider's authorized official is Russell Scott Grimes .
The authorized official title is Dpm and has the following contact phone number (816) 364-2338.

The enumeration date for this NPI number is 9/24/2020 and was last updated on 9/24/2020.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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

NPI Synchronization or Removal

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