| Podiatry Associates, Pa | |
|
8901 W 74th St, Suite 200, Shawnee Mission, KS 66204-2204 | |
| (913) 432-5052 | |
| (913) 432-9990 |
| Full Name | Podiatry Associates, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 8901 W 74th St, Shawnee Mission, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225075070 | NPI | - | NPPES |
| B360000D | Other | KS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Todd M Vanwyngarden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366414492 PECOS PAC ID: 8921142233 Enrollment ID: I20100604000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Podiatry Associates, Pa 8901 W 74th St, Suite 200, Shawnee Mission, KS 66204-2204 Ph: (913) 432-5052 | Podiatry Associates, Pa 8901 W 74th St, Suite 200, Shawnee Mission, KS 66204-2204 Ph: (913) 432-5052 |
Todd Martin Vanwyngarden, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8901 W 74th St, Suite 200, Shawnee Mission, KS 66204 Phone: 913-432-5052 Fax: 913-432-9990 | |
Michael Jay Nachlas, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Suite 200, Shawnee Mission, KS 66204 Phone: 913-432-5052 Fax: 913-432-9990 | |
Mitchell F Dorris, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8901 W 74th St, Suite 200, Shawnee Mission, KS 66204 Phone: 913-432-5052 Fax: 913-432-9990 |