OrganizationActive
Golden Age Footcare
NPI 1265667802 · Primary Podiatric Medicine Podiatrist · Gower, MO
Provider details
- NPI number
- 1265667802
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Boremy Ly, President(816) 304-8452
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
323 S. 169 Highway
Gower, MO 64454-9116
Phone: (816) 304-8452
Fax: (816) 468-0742
Street-level locationGet directions
Mailing address
7818 N Hull Ave
Kansas City, MO 64151-1532
Registry dates
- Enumerated
- 2009-05-27
- Last updated
- 2009-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.