| Captain Doc Llc | |
|
6717 N Oak Trfy, Gladstone, MO 64118-3346 | |
| (816) 452-1211 | |
| (816) 452-4211 |
| Full Name | Captain Doc Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6717 N Oak Trfy, 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 |
|---|---|---|---|
| 1689612483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000701 (Missouri) | Primary |
| Provider Name | Kori Taylor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356384929 PECOS PAC ID: 5698671899 Enrollment ID: I20031209000666 |
| Provider Name | Thomas Chad Hewitt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508980657 PECOS PAC ID: 5294826491 Enrollment ID: I20070802000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Captain Doc Llc 6717 N Oak Trfy, Gladstone, MO 64118-3346 Ph: (816) 452-1211 | Captain Doc Llc 6717 N Oak Trfy, Gladstone, MO 64118-3346 Ph: (816) 452-1211 |
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 |