Organization Active NPI

Jayhawk Foot and Ankle Clinic LLC

  • Foot & Ankle Surgery Podiatrist
  • Lenexa, KS
National Provider Identifier
1942463575
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1200368 Issued in KS
Legal business name
JAYHAWK FOOT AND ANKLE CLINIC LLC
Practice address
9300 Meadow View Dr
Suite 101
Lenexa, KS 66227
Phone
(913) 871-2183
Fax
(913) 780-4834
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Dr. Brooks Young, DPMNPI 1447473962
Title
Office Manager
Phone
(913) 284-1555

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 & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1200368 KS Primary

Addresses

Primary practice location

9300 Meadow View Dr
Suite 101
Lenexa, KS 66227

Mailing address

9300 Meadow View Dr
Suite 101
Lenexa, KS 66227
Phone (913) 871-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080905000573 KS Part B Supplier - Clinic/Group Practice 3476629916 Receives reassigned benefits from 4 practitioners
Practice locations: Shawnee, KS
O20090216000182 MO Part B Supplier - Clinic/Group Practice 3476629916 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

11340 Nall Ave
Ste 201
Overland Park, KS 66211

9300 Meadow View Dr
#101
Shawnee, KS 66227
Phone (913) 871-2183

9300 Meadow View Dr
Ste 10
Shawnee, KS 66227
Phone (913) 871-2183

12121 Blue RDG Blvd
Grandview, MO 64030
Phone (816) 966-0573

2861 NE Independence Ave
Lees Summit, MO 64064
Phone (816) 246-0800

Practitioners & affiliated clinicians

Practitioners 4

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": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1942463575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 MEADOW VIEW DR",
            "address_2": "SUITE 101",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66227",
            "telephone_number": "913-871-2183",
            "fax_number": "913-780-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MEADOW VIEW DR",
            "address_2": "SUITE 101",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66227",
            "telephone_number": "913-871-2183",
            "fax_number": "913-780-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYHAWK FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-284-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "1200368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.