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NPI Code Detail

MEDICARE: DR. ROBERT A SHEMWELL, DPM

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
1213ES0131XFoot Surgery Podiatrist00739MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123857031OTHERMOBCBS
25287446OTHERMOAETNA

General Provider Information

NPI Number : 1982810222
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. ROBERT A SHEMWELL, DPM
Provider Business Mailing Address
First Line : 2700 CLAY EDWARDS DR STE 370
Second Line :
City : N KANSAS CITY
State : MO
Zip : 64116-3270
Country : US
Telephone Number : 816-842-3663
Fax Number : 816-842-2274
Provider Business Practice Location Address
First Line : 2700 CLAY EDWARDS DR STE 370
Second Line :
City : N KANSAS CITY
State : MO
Zip : 64116-3270
Country : US
Telephone Number : 816-842-3663
Fax Number : 816-842-2274
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. TRISHA LARSON
Credential :
Telephone Number : 816-842-3663
Provider Enumeration Date : 05/15/2007
Last Update Date : 12/17/2007

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