Complete Foot and Ankle Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MO000757 Issued in MO

Legal business name

COMPLETE FOOT AND ANKLE CENTER, LLC

Practice address

521 E Young Ave
Warrensburg, MO 64093-1228

Phone

(660) 429-2626

Fax

(660) 429-3356

NPI assigned

Dec 11, 2007

Last updated

May 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lincoln Randall Nowlin, DPMNPI 1861444903

Title

Podiatrist/Owner

Phone

(660) 429-2626

Specialties & licenses 1

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, and the practitioner matching its NPPES authorized official.

• Lincoln Randall Nowlin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warrensburg, MO
  • NPI 1861444903
  Medicare reassignment NPD Authorized official
• Diana Ngoc Ton, D.P.M.

  • Podiatrist
  • Lee's Summit, MO
  • NPI 1114118361
  NPD (past)
• Paul Kent Wilson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jonesborough, TN
  • NPI 1912137217
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1649453887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931228",
            "telephone_number": "660-429-2626",
            "fax_number": "660-429-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931228",
            "telephone_number": "660-429-2626",
            "fax_number": "660-429-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "660-429-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "MO000757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bryon E Conrad, RPH
• Kayla Conrad
• Stephen A Cook, O.D
• Counseling & Psychological Services, University of Central Missouri
• Country Club Care Center of Warrensburg L C (Country Club Care Center)

• Foot & Ankle Surgery Podiatrist in Warrensburg, MO
• Providers in Warrensburg, 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 May 10, 2010; 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.