Podiatry Clinic, P.A. in Wichita - Podiatrist
Podiatry Clinic, P.A. - NPI 1043419625
Podiatry Clinic, P.A. is a Podiatrist in Wichita, Kansas. Podiatry Clinic, P.A. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Podiatry Clinic, P.A. is 1043419625. The last update date is 2013-12-13.
Podiatry Clinic, P.A.'s current location address is 400 N Woodlawn St Ste 211, Wichita, Kansas. You can contact this provider via phone number 3166853801 and fax number 3166856901. The mailing address for Podiatry Clinic, P.A. is 400 N Woodlawn St Ste 211, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Podiatry Clinic, P.A. |
|---|---|
| Address | 400 N Woodlawn St Ste 211, Wichita, Kansas |
| Phone Number | 3166853801 |
| Fax Number | 3166856901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcneil K Larry |
| Credentials | D.P.M. |
| Telephone Number | 3166853801 |
NPI Number Detail
| NPI Number | 1043419625 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2013-12-13 |
Provider Mailing Address Detail
| Address | 400 N Woodlawn St Ste 211 |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672084332 |
| Phone Number | 3166853801 |
| Fax Number | 3166856901 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 12-00142 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480029429 | KS | RRMEDICARE | |
| 100094390B | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Podiatry Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Podiatry Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1043419625. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Podiatry Clinic, P.A. is located?
The Podiatry Clinic, P.A. is situated at the following address: 400 N Woodlawn St Ste 211, Wichita, KS, 672084332.
What is Podiatry Clinic, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Podiatry Clinic, P.A.'s specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Podiatry Clinic, P.A. receive the assignment of its 1043419625 from the Centers for Medicare & Medicaid Services?
The Podiatry Clinic, P.A. was issued its 1043419625 by the Centers for Medicare & Medicaid Services on 2007-07-13.
When was the information related to Podiatry Clinic, P.A. most recently updated or refreshed?
The details pertaining to the Podiatry Clinic, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2013-12-13.