DR CHARLES A KENDALL MD LLC (NPI# 1013175041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013175041 |
| Entity Type | Organization |
| Organization Name | DR CHARLES A KENDALL MD LLC |
| Practice Address |
10010 E Truman Rd Independence MO 64052-2160 |
| Mailing Address |
Po Box 785 Blue Springs MO 64013-0785 |
| Practice Telephone | 8162527800 |
| Practice Fax Number | 8162288768 |
| Mailing Telephone | 8162288768 |
| Mailing Fax Number | 8162288768 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | DR. CHARLES A KENDALL (INTERNAL MEDICINE) |
| Authorized Official Telephone | 8162527800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | R2119 | MO | Hospitals |
| Y | 305R00000X | Preferred Provider Organization | R2119 | MO | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS OF KANSAS CITY | 40065013 | 01 |
| Street Address |
10010 E TRUMAN RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64052-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757239 | Wayne Lawrence Letizia | Internal Medicine | 10010 E Truman Rd, Independence, MO 64052-2160 | 2005-08-18 |
| 1609065853 | Marilyn A Solsky | Internal Medicine | 10010 E Truman Rd, Independence, MO 64052-2160 | 2007-10-23 |
| 1730197583 | Charles Addison Kendall | Internal Medicine | 10010 E Truman Rd, Independence, MO 64052-2160 | 2006-08-04 |
| 1417961988 | James Vincent Linnick | Family Medicine | 10010 E Truman Rd, Independence, MO 64052-2160 | 2006-07-28 |
| 1821034026 | William T. Brown Jr. | Family Medicine | 10010 E Truman Rd, Independence, MO 64052-2160 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
| 1548425127 | Harry S Truman Childrens Neurological Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2828 So. Englewood Terr., Independence, MO 64052 | 2008-07-23 |
| 1902084122 | Thomas F Bembynista | Podiatrist | 10612 E 18 St, Independence, MO 64052 | 2008-02-11 |
| 1558569103 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3704 S. Blue Ridge Blvd, Independence, MO 64052 | 2007-07-05 |
| 1861511859 | Heartland Medical Care PC | Clinic/Center | 10010 E Truman Road, Independence, MO 64052 | 2007-03-28 |
| 1720163496 | Regional Foot Centers Pa | Podiatrist | 10612 E 18th, Independence, MO 64052 | 2006-10-25 |
| 1396841771 | Connie Elaine Anderson | Chiropractor | 3501 S Sterling, Suite D, Independence, MO 64052 | 2006-09-15 |
| 1932201191 | Bruce L Duncan | Chiropractor | 10912 E Winner Road, Independence, MO 64052 | 2006-09-01 |
| 1447337472 | Tammy A Noller | Counselor | 10901 Winner Road, Independence, MO 64052-0169 | 2006-11-01 |
| 1033189816 | Bruno H Zwerenz | Psychiatry & Neurology | 10901 Winner Rd, Comprehensive Mental Health Services, Independence, MO 64052-0169 | 2006-01-25 |
| Find all providers in zip 64052 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1811409253 | Outreach Home Healthcare Agency LLC | Preferred Provider Organization | 10351 Capitol Dr, Saint Louis, MO 63136-4305 | 2017-10-25 |
| 1497291090 | Anointing Loving Carellc | Preferred Provider Organization | 769 Laredo Ave, Saint Louis, MO 63138-3633 | 2017-01-06 |
| 1700242872 | Our Hands That Care Ihs LLC | Preferred Provider Organization | 4144 Lindell Blvd Ste 312a, Saint Louis, MO 63108-2953 | 2016-01-05 |
| 1558779934 | Trugia Care | Preferred Provider Organization | 617 Seaton Blvd, Raymore, MO 64083-8311 | 2014-07-29 |
| 1154755338 | Angels Within Cds LLC | Preferred Provider Organization | 4108 W Florissant Ave, Saint Louis, MO 63115-3056 | 2013-08-24 |
| 1285939777 | Emily Katherine Handley. | Preferred Provider Organization | 14227 E Highway 40, Kansas City, MO 64136-1187 | 2011-01-14 |
| 1508185687 | Nancy Williger Phd LLC | Preferred Provider Organization | 745 Old Frontenac Sq Ste 201, Saint Louis, MO 63131-2755 | 2010-05-27 |
| 1578893137 | Towne Dental of Oak Grove LLC | Preferred Provider Organization | 1206 S Broadway, Oak Grove, MO 64075-9100 | 2010-01-05 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.