Organization Active NPI

Robert a Shemwell DPM LLC

Doing business as Dr. Robert a. Shemwell, DPM

  • Foot Surgery Podiatrist
  • N Kansas City, MO
National Provider Identifier
1245404482
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00739 Issued in MO
Legal business name
ROBERT A SHEMWELL DPM LLC
Doing business as
Dr. Robert a. Shemwell, DPM
Practice address
2700 Clay Edwards Dr Ste 370
N Kansas City, MO 64116-3270
Phone
(816) 842-3663
Fax
(816) 842-2274
NPI assigned
Apr 18, 2008
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Trisha M Larson
Title
Office Manager
Phone
(816) 842-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 00739 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 370
N Kansas City, MO 64116-3270

Mailing address

2700 Clay Edwards Dr Ste 370
N Kansas City, MO 64116-3270
Phone (816) 842-3663

Other identifiers 3

IdentifierTypeStateIssuer
6017070002OtherMONORIDIAN
308885904MedicaidMO
23857031OtherMOBCBS

Other names 1

  • DR. ROBERT A. SHEMWELL, DPM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080701000079 MO Part B Supplier - Clinic/Group Practice 2264504604 Receives reassigned benefits from 1 practitioner
Practice locations: Lees Summit, MO; Warrensburg, MO; Richmond, MO; North Kansas City, MO; Maryville, MO; Liberty, MO; Excelsior Springs, MO; Cameron, MO…
O20100930030786 MO DME Supplier - Physician - Podiatry 2264504604 Practice locations: North Kansas City, MO

National Provider Directory

National Provider Directory

Locations

600 NW Murray Rd
Ste 101
Lees Summit, MO 64081
Phone (913) 381-9260

2700 Clay Edwards Dr
Ste 370
North Kansas City, MO 64116
Phone (816) 842-0171

122 E Market St
Warrensburg, MO 64093
Phone (660) 429-2813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1245404482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 370",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163270",
            "telephone_number": "816-842-3663",
            "fax_number": "816-842-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 370",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163270",
            "telephone_number": "816-842-3663",
            "fax_number": "816-842-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A SHEMWELL DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-842-3663"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MO",
            "license": "00739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "6017070002",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308885904",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23857031",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. ROBERT A. SHEMWELL, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.