Golden Age Footcare Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

GOLDEN AGE FOOTCARE INC

Practice address

7818 N Hull Ave
Kansas City, MO 64151-1532

Phone

(816) 304-8452

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Boremy Ly, DPMNPI 1336245125

Title

President

Phone

(816) 304-8452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Boremy Ly, DPM

  • Primary Podiatric Medicine Podiatrist
  • Kansas City, MO
  • NPI 1336245125

  KS

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1700085453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 N HULL AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511532",
            "telephone_number": "816-304-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 N HULL AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511532",
            "telephone_number": "816-304-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE FOOTCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "BOREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-304-8452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gokc Healing Center, LLC
• Hakan Goker
• Gold Standard ABA Mo LLC
• Claudia Jean Goldak, OTR L
• Roger Goldblatt, LMSW
• Golden Heart Home Care Services LLC
• Golden Hearts Care LLC
• Golden Life in Home Services
• Gretchen Leigh Golden, MS, RN, FNP-BC
• Kenyatta Golden, RBT

• Primary Podiatric Medicine Podiatrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Primary Podiatric Medicine Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.