| Pivotal Foot And Ankle Surgeons Llc | |
|
1005 W Saint Maartens Dr Ste A, Saint Joseph, MO 64506-2989 | |
| (816) 364-2338 | |
| (816) 364-1003 |
| Full Name | Pivotal Foot And Ankle Surgeons Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1005 W Saint Maartens Dr Ste A, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356958276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Russell S Grimes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588635361 PECOS PAC ID: 1254334618 Enrollment ID: I20060824000557 |
| Provider Name | Ross C Bartley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750794988 PECOS PAC ID: 5991073157 Enrollment ID: I20170613001625 |
| Provider Name | Tyler Daniel Sten |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861020737 PECOS PAC ID: 5991129397 Enrollment ID: I20230420001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Foot And Ankle Surgeons Llc 1005 W Saint Maartens Dr Ste A, Saint Joseph, MO 64506-2989 Ph: (816) 364-2338 | Pivotal Foot And Ankle Surgeons Llc 1005 W Saint Maartens Dr Ste A, Saint Joseph, MO 64506-2989 Ph: (816) 364-2338 |
Dr. Lung Kang Tan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5202 Faraon St Ste A, Saint Joseph, MO 64506 Phone: 816-271-1067 Fax: 816-271-1071 | |
Dr. Phillip Anthony Lipira, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
St Joseph Foot Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
Dr. Russell Scott Grimes, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1005 W Saint Maartens Dr Ste A, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
Phillip A Lipira Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
Shannon Alan Engel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 101 Mosaic Ct Ste 300, Saint Joseph, MO 64506 Phone: 816-271-1067 Fax: 816-271-1071 |