Corinth Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000387 Issued in MO

Legal business name

CORINTH PODIATRY GROUP

Practice address

4967 NE Goodview Cir Ste B
Lees Summit, MO 64064-2493

Phone

(816) 461-3535

Fax

(816) 461-8782

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judith A Stenger, CERT. SURGICAL TECH

Title

Clinical Manager

Phone

(816) 461-3535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1255599395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 NE GOODVIEW CIR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642493",
            "telephone_number": "816-461-3535",
            "fax_number": "816-461-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 NE GOODVIEW CIR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642493",
            "telephone_number": "816-461-3535",
            "fax_number": "816-461-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "STENGER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "816-461-3535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERT. SURGICAL TECH"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.