Provider Demographics
NPI:1487654810
Name:SHEMWELL, ROBERT A (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:SHEMWELL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2700 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3251
Mailing Address - Country:US
Mailing Address - Phone:816-842-3663
Mailing Address - Fax:816-842-2274
Practice Address - Street 1:2700 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 370
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3251
Practice Address - Country:US
Practice Address - Phone:816-842-3663
Practice Address - Fax:816-842-2274
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO00739213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOU62377Medicare UPIN
MO4511510017Medicare NSC
MO4511510013Medicare NSC
MO4511510009Medicare NSC
MOM469667Medicare PIN
MO4511510014Medicare NSC
MO4511510016Medicare NSC
MO4511510007Medicare NSC
MO4511510001Medicare NSC
MOM469667AMedicare PIN
MO4511510010Medicare NSC
MO4511510015Medicare NSC
MO4511510008Medicare NSC
MO4511510003Medicare NSC
MO4511510011Medicare NSC