Provider Demographics
NPI:1629602073
Name:ESSENTIAL FOOT AND ANKLE
Entity Type:Organization
Organization Name:ESSENTIAL FOOT AND ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:816-914-3905
Mailing Address - Street 1:15520 S DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6306
Mailing Address - Country:US
Mailing Address - Phone:913-839-3443
Mailing Address - Fax:
Practice Address - Street 1:15520 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6306
Practice Address - Country:US
Practice Address - Phone:913-839-3443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty