IndividualActive
Akilis Theoharidis, D.P.M
NPI 1912933474 · Foot Surgery Podiatrist · Gladstone, MO
Provider details
- NPI number
- 1912933474
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M
- Sex
- Male
- Sole proprietor
- No
- License
- 000747 (MO)
Practice location
407 Ne 76th Ter
Gladstone, MO 64118-1708
Phone: (816) 436-7900
Fax: (816) 436-0999
Mailing address
407 Ne 76th Ter
Gladstone, MO 64118-1708
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.