MR. PAUL OWEN GORBY (NPI# 1629078407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629078407 |
Entity Type | Individual |
Full Name | MR. PAUL OWEN GORBY |
Credential | DPM |
Practice Address |
550 Rush Creek Pkwy Suite A Liberty MO 64068-9608 |
Practice Telephone | 8164551155 |
Practice Fax Number | 8164551161 |
Mailing Telephone | 8164551155 |
Mailing Fax Number | 8164551161 |
Enumeration Date | 2005-07-22 |
Last Update Date | 2011-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 12-00343 | KS | Podiatric Medicine & Surgery Service Providers |
Y | 213E00000X | Podiatrist | 009612 | MO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 309126407 | 05 |
Street Address |
550 RUSH CREEK PKWY SUITE A |
City | LIBERTY |
State | MO |
Zip Code | 64068-9608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437159217 | Thomas Craig Boldry | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
1699173757 | Icare Primary Care Clinic, LLC | Substance Abuse Rehabilitation Facility | 550 Rush Creek Pkwy, Suite B, Liberty, MO 64068-9608 | 2014-12-05 |
1316344658 | Icare Primary Care | Exclusive Provider Organization | 550 Rush Creek Pkwy, Suite B, Liberty, MO 64068-9608 | 2014-12-02 |
1396075743 | Matthew Dean Nielsen | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9604 | 2010-01-07 |
1194762930 | Liberty Medicine Specialists, Inc. | Internal Medicine | 550 Rush Creek Pkwy, Ste B, Liberty, MO 64068-9604 | 2006-06-01 |
1801896600 | Julie Jeanette Jones | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
Find all providers in zip 64068 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689603805 | Liberty Dayton Foot & Ankle Center | Podiatrist | 1825 Grand Ave, Liberty, TX 77575-4705 | 2006-07-01 |
1437159217 | Thomas Craig Boldry | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
1649711524 | Dare Foot Care LLC | Podiatrist | 2201 Glenn Hendren Dr, Liberty, MO 64068-3375 | 2017-03-13 |
1801896600 | Julie Jeanette Jones | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902421696 | Kiera Margaret Benge-shea | Podiatrist | 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 | 2020-06-09 |
1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
1255727525 | Mobile Podiatry of Kansas, LLC | Podiatrist | 1920 Salter Pl, Kirksville, MO 63501-5165 | 2015-04-13 |
1346645496 | Ronald Ethan Freilich | Podiatrist | 25107 Cherokee Ln, Jonesburg, MO 63351-2454 | 2014-10-31 |
1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
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.