KENNETH JOHN SCHULTZ (NPI# 1902819543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902819543 |
| Entity Type | Individual |
| Full Name | KENNETH JOHN SCHULTZ |
| Credential | D.P.M. |
| Practice Address |
3420 Saddle Ridge Dr Independence MO 64057-3375 |
| Practice Telephone | 8163041122 |
| Practice Fax Number | 8162249273 |
| Mailing Telephone | 8163041122 |
| Mailing Fax Number | 8162249273 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 12-00290 | KS | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 000753 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS OF KS | 114053 | 01 | |
| KS | 1003025406 | 05 | |
| BCBS OF KANSAS CITY | 25031037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760803803 | Kenneth Schultz | Emergency Medicine | 13230 Dime Box Trl, Austin, TX 78729-7555 | 2013-12-16 |
| 1265456784 | Kenneth David Schultz | Psychologist | 15 Laurel Woods Rd, Woodbury, CT 06798-2516 | 2006-07-27 |
| 1023043726 | Kenneth W Schultz | Chiropractor | 5280 E. M36, Lakeland, MI 48143 | 2006-07-11 |
| 1538412028 | Kenneth Elliot Schultz | Emergency Medicine | 150 W 9th Ave, Apt. 4201, Denver, CO 80204-4032 | 2012-10-21 |
| Street Address |
3420 SADDLE RIDGE DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1902084122 | Thomas F Bembynista | Podiatrist | 10612 E 18 St, Independence, MO 64052 | 2008-02-11 |
| 1295806248 | Brian Andrew Koludrovich | Podiatrist | 5000 Rockside Road, Suite #260, Independence, OH 44131-2141 | 2006-11-13 |
| 1003986712 | Mark Stieby D.p.m. LLC | Podiatrist | 954 E Mount Zion Rd, Independence, KY 41051-9532 | 2006-11-09 |
| 1720163496 | Regional Foot Centers Pa | Podiatrist | 10612 E 18th, Independence, MO 64052 | 2006-10-25 |
| 1578654604 | Jeffrey D Hogge | Podiatrist | 209 N 6th St, Independence, KS 67301-3100 | 2006-09-27 |
| 1699795807 | Heartland Podiatry, P.C. | Podiatrist | 2406 Rd Mize Rd Ste B, Independence, MO 64057 | 2006-07-20 |
| 1144258062 | Valentenia Daugherty | Podiatrist | 18921 G E Valley View Pkwy, #226, Independence, MO 64055-7012 | 2006-06-29 |
| 1326042219 | Arthur M Weisman | Podiatrist | 2406 E R D Mize Rd, Ste B, Independence, MO 64057-1947 | 2005-06-08 |
| 1477804995 | Jacqueline L Pyle | Podiatrist | 2406 E R D Mize Rd, Independence, MO 64057-1808 | 2012-09-24 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on KENNETH JOHN SCHULTZ.
| 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.