Organization Active NPI

Akeso Medical LLC

  • Foot & Ankle Surgery Podiatrist
  • Kansas City, MO
National Provider Identifier
1548586456
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2008036747 Issued in MO
Legal business name
AKESO MEDICAL LLC
Doing business as
Akeso Podiatry
Practice address
10015 NW Ambassador Dr
Suite 100
Kansas City, MO 64153-1364
Phone
(816) 595-4000
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. Debra Elizabeth Mardis, DPM
Title
Director of Business Operations
Phone
(816) 582-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2008036747 MO Primary

Addresses

Primary practice location

10015 NW Ambassador Dr
Suite 100
Kansas City, MO 64153-1364

Mailing address

10015 NW Ambassador Dr
Suite 100
Kansas City, MO 64153-1364
Phone (816) 595-4000

Other names 1

  • Akeso Podiatry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1548586456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 NW AMBASSADOR DR",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531364",
            "telephone_number": "816-595-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 NW AMBASSADOR DR",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531364",
            "telephone_number": "816-595-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKESO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "MARDIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "816-582-1157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2008036747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akeso Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.