| Ankle And Foot Centers Of Missouri P.c. | |
|
407 Ne 76th Ter, Gladstone, MO 64118-1708 | |
| (816) 436-7900 | |
| (816) 436-0999 |
| Full Name | Ankle And Foot Centers Of Missouri P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 407 Ne 76th Ter, Gladstone, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790714491 | NPI | - | NPPES |
| 505265009 | Medicaid | MO | |
| 365265016 | Medicaid | MO | |
| CB6768 | Other | RAILROAD AHN | |
| CB6767 | Other | RAILROAD | |
| 365265008 | Medicaid | MO | |
| 505265017 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Akilis M Theoharidis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912933474 PECOS PAC ID: 2860495447 Enrollment ID: I20060821000527 |
| Provider Name | Elijah L Davis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265545966 PECOS PAC ID: 9931275955 Enrollment ID: I20080827000476 |
| Provider Name | Tanner Coleman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780156687 PECOS PAC ID: 7911324819 Enrollment ID: I20200824001891 |
| Mailing Address | Practice Location Address |
|---|---|
| Ankle And Foot Centers Of Missouri P.c. 407 Ne 76th Ter, Gladstone, MO 64118-1708 Ph: (816) 436-7900 | Ankle And Foot Centers Of Missouri P.c. 407 Ne 76th Ter, Gladstone, MO 64118-1708 Ph: (816) 436-7900 |
Jennifer Brooke Halligan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2800 Ne 60th St, Gladstone, MO 64119 Phone: 816-453-5161 Fax: 816-453-5874 | |
Mid America Foot And Ankle Specialist, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2800 Ne 60th St, Gladstone, MO 64119 Phone: 816-453-5161 | |
Kori H Taylor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6717 N Oak Trfy, Gladstone, MO 64118 Phone: 816-452-1211 Fax: 816-452-4211 | |
Mr. Chris Robert Guerrieri, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2800 Ne 60th St, Gladstone, MO 64119 Phone: 816-453-5161 Fax: 816-453-5874 | |
Dr. Kate Selsby Revill, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 407 Ne 76th Ter, Gladstone, MO 64118 Phone: 816-436-7900 Fax: 816-436-0999 | |
Dr. Thomas Chad Hewitt, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6717 N Oak Trfy, Gladstone, MO 64118 Phone: 816-452-1211 Fax: 816-452-4211 | |
Mr. James J Good, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2800 Ne 60th St, Gladstone, MO 64119 Phone: 816-453-5161 Fax: 816-453-5874 |