Ifit Foot & Ankle Centers, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2014003755 Issued in MO

Legal business name

IFIT FOOT & ANKLE CENTERS, LLC

Practice address

2121 N Baltimore St
Suite B
Kirksville, MO 63501-5110

Phone

(660) 956-4291

NPI assigned

Jan 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Costello, D.P.M.

Title

Podiatrist

Phone

(660) 342-0175

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1053778415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SALTER PL",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N BALTIMORE ST",
            "address_2": "SUITE B",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015110",
            "telephone_number": "660-956-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFIT FOOT & ANKLE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "660-342-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2014003755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hattie Hunter
• Carla K Hustead, LCSW
• Suejeong Hwang
• Hy-Vee Inc
• Stephen James Hyde, DO
• Nicholas David Immel
• Impact Counseling
• Janna Elaine Ingram, PLPC
• International Eyecare Center, Inc
• Roxana Ionas, MD

• Foot & Ankle Surgery Podiatrist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.