MEDICARE: DR. ROBERT A SHEMWELL DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00739	MO

General Provider Information

NPI Number	:	1487654810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A SHEMWELL DPM

Provider Business Mailing Address
First Line	:	2700 CLAY EDWARDS DR
Second Line	:	SUITE 370
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3251
Country	:	US
Telephone Number	:	816-842-3663
Fax Number	:	816-842-2274

Provider Business Practice Location Address
First Line	:	2700 CLAY EDWARDS DR
Second Line	:	SUITE 370
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3251
Country	:	US
Telephone Number	:	816-842-3663
Fax Number	:	816-842-2274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/20/2008

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Directions to “ DR. ROBERT A SHEMWELL DPM” Practice Location

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