LEES SUMMIT PHYSICIANS GROUP, INC (NPI# 1053341750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053341750 |
| Entity Type | Organization |
| Organization Name | LEES SUMMIT PHYSICIANS GROUP, INC |
| Practice Address |
1425 Nw Blue Pkwy Lees Summit MO 64086-5705 |
| Practice Telephone | 8165243223 |
| Practice Fax Number | 8165252697 |
| Mailing Telephone | 8165243223 |
| Mailing Fax Number | 8165252697 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | MR. STEVEN B. WEINRICH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8165243223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1425 NW BLUE PKWY |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631010 | Lisa B. Fletcher | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2005-07-07 |
| 1114540085 | Children's Mercy-community Choice Pediatrics | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-05-26 |
| 1174156343 | Lee's Summit Physicians Group - Internal Medicine LLC | Internal Medicine | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-02-17 |
| 1336700418 | Julia Marie Crouch | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-06-27 |
| 1659835395 | Holly Lynn Prather | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-01-28 |
| 1871029652 | Jared Kevern | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2017-05-11 |
| 1679957112 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2015-07-15 |
| 1225443625 | Tiffany Vitt | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2014-06-24 |
| 1720351026 | Cindy M Aldrige | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2012-02-16 |
| 1306076336 | Sarah E Dedrick | Clinical Nurse Specialist | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2009-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1902297518 | Lees Summit Physicians Group | Pediatrics | 995 Sw 34th St, Lees Summit, MO 64082-4093 | 2015-02-18 |
| 1699941674 | Lee's Summit Physicians Group Urgent Care | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
| 1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
| 1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
| 1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
| 1811076763 | Nedra Diann Twillie | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
| 1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
| 1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
| 1528064102 | Joseph William Stafford Jr. | Pediatrics | 312 N Kentucky Ave, West Plains, MO 65775-2073 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.