Organization
PIVOTAL FOOT AND ANKLE SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL SCOTT GRIMES DPM (DPM)
(816) 364-2338
Entity
Organization
Contact information
Practice address
1005 W SAINT MAARTENS DR STE A, SAINT JOSEPH, MO 64506-2989
(816) 364-2338
(816) 364-1003
Mailing address
1005 W SAINT MAARTENS DR STE A, SAINT JOSEPH, MO 64506-2989
(816) 364-2338
(816) 364-1003
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/24/2020
Last updated
01/06/2026
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