Golnar Prudhomme, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PP-26 Issued in KS

Practice address

4101 S 4TH St
Leavenworth, KS 66048-5014

Phone

(913) 682-2000

Fax

(913) 758-4177

NPI assigned

Aug 3, 2009

Last updated

Aug 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1346471745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431703",
            "telephone_number": "440-785-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485014",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDHOMME",
        "first_name": "GOLNAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "PP-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Services - Saint John Leavenworth, LLC (Saint John Hospital)
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• Jennifer Princic, RN
• Kelli Proffitt
• Psychiatric Care Associates PA
• Alli Puetz
• Genevieve Quintois
• Radiant Grin Solutions LLC (Family Dental Care)
• Radiant Grins LLC

• Podiatrist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.