MEDICARE: FOOT SPECIALISTS OF KANSAS CITY, P.A.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	00598	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32555024	OTHER	MO	BLUE CROSS BLUE SHIELD MO

General Provider Information

NPI Number	:	1871716472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT SPECIALISTS OF KANSAS CITY, P.A.

Provider Business Mailing Address
First Line	:	9119 W 74TH ST STE 352
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2229
Country	:	US
Telephone Number	:	913-677-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1956 NW COPPER OAKS CIR
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-8300
Country	:	US
Telephone Number	:	816-228-6995
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL JOSEPH THOUVENOT
Credential	:
Telephone Number	:	314-909-1920

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	01/08/2026

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