Organization Active NPI

Midwest Orthopedics Foot and Ankle PC

  • Specialist
  • Leawood, KS
National Provider Identifier
1295943165
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
107003 Issued in MO
Legal business name
MIDWEST ORTHOPEDICS FOOT AND ANKLE PC
Practice address
11237 Nall Ave Ste 130
Leawood, KS 66211-1655
Phone
(913) 469-3690
Fax
(913) 469-3692
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Susan K Bonar, M.D.
Title
Office Manager
Phone
(816) 941-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 107003 MO Primary

Addresses

Primary practice location

11237 Nall Ave Ste 130
Leawood, KS 66211-1655

Mailing address

11237 Nall Ave Ste 130
Leawood, KS 66211-1655
Phone (913) 469-3690

Other identifiers 1

IdentifierTypeStateIssuer
207754219MedicaidMO

National Provider Directory

National Provider Directory

Locations

10730 Nall Ave
#312
Overland Park, KS 66211
Phone (913) 901-9000

1010 Carondelet Dr
Ste 312
Kansas City, MO 64114
Phone (816) 941-7785

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1295943165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11237 NALL AVE STE 130",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111655",
            "telephone_number": "913-469-3690",
            "fax_number": "913-469-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11237 NALL AVE STE 130",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111655",
            "telephone_number": "913-469-3690",
            "fax_number": "913-469-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORTHOPEDICS FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "BONAR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-941-7785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "107003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207754219",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.