Organization Active NPI

Family Podiatry P.a.

  • Foot Surgery Podiatrist
  • Independence, KS
National Provider Identifier
1366533432
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
FAMILY PODIATRY P.A.
Practice address
209 N 6TH St
Independence, KS 67301-3100
Phone
(620) 331-1840
Fax
(620) 331-7530
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Barry E WesselowskiNPI 1194816215
Title
Owner
Phone
(620) 331-1840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X KS Primary

Addresses

Primary practice location

209 N 6TH St
Independence, KS 67301-3100

Mailing address

209 N 6TH St
PO Box 372
Independence, KS 67301-3100
Phone (620) 331-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091106000015 KS Part B Supplier - Clinic/Group Practice 5193863470 Receives reassigned benefits from 2 practitioners
Practice locations: Independence, KS
O20100930030009 KS DME Supplier - Physician - Podiatry 5193863470 Practice locations: Independence, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366533432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N 6TH ST",
            "address_2": "PO BOX 372",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013100",
            "telephone_number": "620-331-1840",
            "fax_number": "620-331-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 6TH ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013100",
            "telephone_number": "620-331-1840",
            "fax_number": "620-331-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WESSELOWSKI",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-331-1840",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.