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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427283191 | Golden Age Footcare | Podiatrist | 16600 W 126th St, Olathe, KS 66062-1184 | 2009-05-23 |
Street Address |
323 S. 169 HIGHWAY |
City | GOWER |
State | MO |
Zip Code | 64454-9116 |
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 |
Find all providers in zip 64454 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
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 |
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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.