NPIMap

Shoal Creek Foot and Ankle Center LLC

A Medicare group practice based in Joplin, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0547512154), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547512154The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20190321001298 MO DME Supplier - Physician - Podiatry 1750853313
O20181010000334 MO Part B Supplier - Clinic/Group Practice 1346722055

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (5).

Sources for this page