| Ethan James Knowlton, | |
|
1010 Carondelet Dr Ste 301, Kansas City, MO 64114-4823 | |
| (816) 943-1111 | |
| Not Available |
| Full Name | Ethan James Knowlton |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 1010 Carondelet Dr Ste 301, Kansas City, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134652977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2020014411 (Missouri) | Primary |
| 213E00000X | Podiatrist | K54321091039 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar County Memorial Hospital | El dorado springs, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Preferred Podiatry Group Pc | 3971412677 | 119 |
| Cedar County Memorial Hospital | 7315841129 | 11 |
| Provider Name | Cedar County Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619090404 PECOS PAC ID: 7315841129 Enrollment ID: O20040120000314 |
| Provider Name | Kansas City Foot And Ankle Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780779470 PECOS PAC ID: 4385637339 Enrollment ID: O20040406000258 |
| Provider Name | Preferred Podiatry Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720037138 PECOS PAC ID: 3971412677 Enrollment ID: O20060814000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan James Knowlton, 1010 Carondelet Dr Ste 301, Kansas City, MO 64114-4823 Ph: (816) 943-1111 | Ethan James Knowlton, 1010 Carondelet Dr Ste 301, Kansas City, MO 64114-4823 Ph: (816) 943-1111 |
Dr. Dylan Grau, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7900 Lees Summit Rd, Kansas City, MO 64139 Phone: 816-404-7000 | |
Dr. David Arthur Robinson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6724 Troost, Ste 604, Kansas City, MO 64131 Phone: 816-333-2330 Fax: 816-333-2330 | |
Michael Andersen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7900 Lees Summit Rd, Kansas City, MO 64139 Phone: 816-404-7000 | |
Dr. Mark Alan Green, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Carondelet Dr, Suite 301, Kansas City, MO 64114 Phone: 816-943-1111 | |
Raman Sinha, D.p.m., P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6724 Troost Ave, Ste 106, Kansas City, MO 64131 Phone: 816-462-3901 | |
Chengyu Xie, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7900 Lees Summit Rd, Kansas City, MO 64139 Phone: 816-404-9597 |