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SHOAL CREEK FOOT AND ANKLE CENTER LLC
NPI 1346722055
Podiatrist - Foot & Ankle Surgery in Joplin, MO

Active since August 30, 2018
1801 W 32ND ST STE 102, JOPLIN, MO 64804(417) 622-0648(417) 622-0497 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Apr 15, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Shoal Creek Foot And Ankle Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOAL CREEK FOOT AND ANKLE CENTER LLC (NPI 1346722055) is a healthcare organization registered as a foot & ankle surgery in Joplin, Missouri and active in the NPI registry since August 2018. The organization lists Shelly Diane Sedberry, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1346722055
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHOAL CREEK FOOT AND ANKLE CENTER LLC
Location Address1801 W 32ND ST STE 102Joplin, MO 64804-1528
Mailing AddressPo Box 4427Joplin, MO 64803-4427 · (417) 622-0648 · Fax (417) 622-0497
Phone(417) 622-0648
Fax(417) 622-0497
Organization SubpartNo
Authorized OfficialShelly Diane SedberryOwner/president · (417) 622-0648
Enumeration DateAugust 30, 2018
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1346722055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MO · 2018010120
1801 W 32ND ST STE 102, Joplin, MO 64804
Open in Google Maps ↗

Other Identifiers 1

Medicaid300054533MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MARIE-NOELLE CIARAMELLO
Podiatrist
1801 W 32ND ST STE 102
JOPLIN, MO 64804
Newton County (417) 622-0648
DAMOUR FAMILY MEDICINE
Family Medicine
1801 W 32ND ST STE 102
JOPLIN, MO 64804
Newton County (417) 782-4100
SHOAL CREEK FOOT AND ANKLE CENTER LLC
Podiatrist (Foot & Ankle Surgery)
1801 W 32ND ST STE 102
JOPLIN, MO 64804
Newton County (417) 622-0648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoal Creek Foot And Ankle Center LLC's NPI number?

The NPI number for Shoal Creek Foot And Ankle Center LLC is 1346722055. It was assigned to this organization in the NPPES registry on August 30, 2018.

Where is Shoal Creek Foot And Ankle Center LLC located?

Shoal Creek Foot And Ankle Center LLC is located at 1801 W 32nd St Ste 102, Joplin, MO 64804. The listed phone number is (417) 622-0648.

What is Shoal Creek Foot And Ankle Center LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Shoal Creek Foot And Ankle Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Shoal Creek Foot And Ankle Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoal Creek Foot And Ankle Center LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.