GOLDEN AGE FOOTCARE


Address: 323 S. 169 Highway, Gower, MO 64454-9116
Phone: 8163048452

GOLDEN AGE FOOTCARE (NPI# 1265667802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265667802
Entity Type Organization
Organization Name GOLDEN AGE FOOTCARE
Practice Address 323 S. 169 Highway
Gower
MO 64454-9116
Mailing Address 7818 N Hull Ave
Kansas City
MO 64151-1532
Practice Telephone 8163048452
Practice Fax Number 8164680742
Mailing Telephone 8163048452
Mailing Fax Number 8164680742
Enumeration Date 2009-05-27
Last Update Date 2009-05-27
Authorized Official Name DR. BOREMY LY (PRESIDENT)
Authorized Official Telephone 8163048452
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
Podiatric Medicine & Surgery Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427283191 Golden Age Footcare Podiatrist 16600 W 126th St, Olathe, KS 66062-1184 2009-05-23

Office Location

Street Address 323 S. 169 HIGHWAY
City GOWER
State MO
Zip Code 64454-9116

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407360449 Northwest Health Services, Inc Family Medicine 303 South Us Hwy 169, Gower, MO 64454 2017-11-29
1417192048 Gower Dental Care, LLC Dentist 311 S 169 Hwy, Gower, MO 64454 2008-12-11
1649492240 Gower Family Care Center PC Family Medicine 303 S Hwy 169, Gower, MO 64454 2007-05-03
1407815400 Steven D. Brushwood Family Medicine 303 S. 169 Hwy, Gower, MO 64454-0000 2006-03-20
1316937733 Gower Convalescent Center Inc Skilled Nursing Facility 323 South 169 Highway, Gower, MO 64454-0170 2005-10-26
1053910422 Serenity Speech and Language Therapy LLC Speech-Language Pathologist 8965 W Highway 116, Gower, MO 64454-8483 2020-10-18
1154920528 Shelby Roseretta Stangl Speech-Language Pathologist 8965 W Highway 116, Gower, MO 64454-8483 2020-10-18
1437624871 Northwest Health Services, Inc. Pharmacy 315 S Us Highway 169, Gower, MO 64454-9116 2018-10-12
1578802740 April Ina Wamsley Nurse Practitioner 303 S Us 169 Highway, Gower, MO 64454-9116 2013-02-08
1649457763 East Buchanan C-i School District Local Education Agency (LEA) 100 Smith St, Gower, MO 64454-9187 2008-01-31
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972826071 Douglas A Krauss Inc Podiatrist 11132 S Towne Sq Ste 105, Saint Louis, MO 63123-7818 2010-03-04
1881766863 Patrick Anderson Mcshane Podiatrist 1834 S Stewart Ave, Springfield, MO 65804-2519 2006-11-14
1174621056 Robert R Shemwell Podiatrist 246 E Hwy 54, Ste A, Camdenton, MO 65020 2006-09-21
1336245125 Boremy Ly Podiatrist 7818 N Hull Ave, Kansas City, MO 64151-1532 2006-09-16
1710998851 Roller Enterprises LLC Podiatrist 1691 S Business Highway 65, Hollister, MO 65672-6342 2006-08-11
1396701108 Chris Robert Guerrieri Podiatrist 2800 Ne 60th St, Gladstone, MO 64119-2036 2006-04-21
1194703017 James Thomas Main Jr. Podiatrist 1854 Broadway St, Cape Girardeau, MO 63701-4553 2006-01-03
1285636753 John Orville Roller Podiatrist 1691 S Bus Hwy 65, Hollister, MO 65672-6342 2005-08-12
1700085453 Golden Age Footcare Inc Podiatrist 7818 N Hull Ave, Kansas City, MO 64151-1532 2007-07-13
1083821904 Michael N. Fine, Dpm, PC Podiatrist 2790 Clay Edwards Dr, Ste 570, Kansas City, MO 64116-3276 2007-05-17
Find all providers with the same taxonomy

Competitor

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City GOWER
Zip Code 64454

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Dataset Information

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.

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