Mobile Podiatry of Kansas, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MOBILE PODIATRY OF KANSAS, LLC

Doing business as

Special Care Podiatry of Kansas

Practice address

1920 Salter PL
Kirksville, MO 63501-5165

Phone

(855) 259-9183

Fax

(502) 254-4086

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By 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

Joseph Costello, DPM

Title

Owner

Phone

(855) 259-9183

Specialties & licenses 1

Addresses

Other names 1

• Special Care Podiatry of Kansas Doing business as

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1255727525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432404",
            "telephone_number": "502-244-2441",
            "fax_number": "502-254-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SALTER PL",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015165",
            "telephone_number": "855-259-9183",
            "fax_number": "502-254-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRY OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-259-9183",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Care Podiatry of Kansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurence Irwin Miller, D.O.
• Melissa Dawn Miller, PTA
• Morgan Miller
• Roger David Millhouse, DO
• John Minton, DO
• Ahmed Mohamed
• Ali Ahmad Mohammad
• Habeeb Ali Mohammed, MD
• Samihah S Mohammed, DO
• Hanazehra Sajid Momin

• Podiatrist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.