Pivotal Foot and Ankle Surgeons LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PIVOTAL FOOT AND ANKLE SURGEONS LLC

Practice address

1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989

Phone

(816) 364-2338

Fax

(816) 364-1003

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Russell Scott Grimes, DPM

Title

DPM

Phone

(816) 364-2338

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ross Christopher Bartley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Joseph, MO
  • NPI 1750794988
  Medicare reassignment Care Compare group NPD
• Tyler D. Sten, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Joseph, MO
  • NPI 1861020737

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Isaac Wilmot, DPM

  • Podiatrist
  • Saint Joseph, MO
  • NPI 1013666254
  NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1356958276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W SAINT MAARTENS DR STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062989",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W SAINT MAARTENS DR STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062989",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Platte Falls Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Platte City",
            "state": "MO",
            "postal_code": "640797323",
            "country_code": "US",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOTAL FOOT AND ANKLE SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "816-364-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Sue Piercy, MS,LPC
• Pike Health Solutions
• Pilates PT LLC
• Larry William Piper, DPM
• Hunter Michelle Pitts, STUDENT
• Plastic Surgery Center of St Joseph, Inc
• Tara Ploeger, COTA
• Melissa Plum, DC
• Barbara Ann Poage, RPT
• Brenda L. Polachek, FNP-BC

• Foot & Ankle Surgery Podiatrist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.