GOLDEN AGE FOOTCARE (NPI# 1427283191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427283191 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE FOOTCARE |
| Practice Address |
16600 W 126th St Olathe KS 66062-1184 |
| 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 | 2009-05-23 |
| Last Update Date | 2009-05-23 |
| 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 |
|---|---|---|---|---|
| 1265667802 | Golden Age Footcare | Podiatrist | 323 S. 169 Highway, Gower, MO 64454-9116 | 2009-05-27 |
| Street Address |
16600 W 126TH ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033296397 | Villa St. Francis, Inc. | Skilled Nursing Facility | 16600 W 126th St, Olathe, KS 66062-1184 | 2006-11-01 |
| 1245893338 | Abbey M O'neil | Occupational Therapist | 16600 W 126th St, Olathe, KS 66062-1184 | 2019-04-15 |
| 1184150617 | Noelle Hinson | Physical Therapist | 16600 W 126th St, Olathe, KS 66062-1184 | 2017-05-03 |
| 1871938464 | Erin Dianne Huff | Physical Therapist | 16600 W 126th St, Olathe, KS 66062-1184 | 2013-05-08 |
| 1104038116 | Janna Renee Bergquist Bolton | Occupational Therapist | 16600 W 126th St, Olathe, KS 66062-1184 | 2007-05-03 |
| 1730300591 | Olanre Adetu | Physical Therapist | 16600 W 126th St, Olathe, KS 66062 | 2007-05-01 |
| 1891856431 | Linda Mary Iyer | Social Worker | 16600 W 126th St, Villa St Francis, Olathe, KS 66062 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1982687034 | Kenneth L. Hobbs | Podiatrist | 714 Sw Fairlawn Rd, Topeka, KS 66606-2539 | 2005-11-22 |
| 1992701544 | Robert Allan Gjertson | Podiatrist | 6715 W 126th Place, Oveland Park, KS 66209-3230 | 2005-06-27 |
| 1043647795 | Aiman Nguib Milad Bishara | Podiatrist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2013-09-26 |
| 1548591126 | Christopher H Surtman Dpm LLC | Podiatrist | 750 W D Ave, Kingman, KS 67068-1266 | 2010-01-21 |
| 1760621924 | Active Foot Solutions Pa | Podiatrist | 10464 Metcalf Ave, Overland Park, KS 66212-1806 | 2009-02-11 |
| 1659411221 | Amber Steinford Beisiegel | Podiatrist | 10464 Metcalf Ave, Overland Park, KS 66212-1806 | 2007-02-06 |
| 1255341236 | Warren W Abbott | Podiatrist | 5000 Sw 21st St, Topeka, KS 66604-4510 | 2006-08-09 |
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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.