WHITE CRYSTAL EMERGENCY PHYSICIANS, LLC (NPI# 1174994511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174994511 |
| Entity Type | Organization |
| Organization Name | WHITE CRYSTAL EMERGENCY PHYSICIANS, LLC |
| Practice Address |
19600 E 39th St S Independence MO 64057-2301 |
| Mailing Address |
Po Box 98956 Las Vegas NV 89193-8956 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Authorized Official Name | TENNA BEHM (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952762510 | White Crystal Emergency Physicians, LLC | Physician Assistant | 17065 S 71 Highway, Belton, MO 64012-2165 | 2016-03-10 |
| 1417315979 | White Crystal Emergency Physicians, LLC | Physician Assistant | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2016-01-29 |
| 1972961423 | White Crystal Emergency Physicians, LLC | Physician Assistant | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2016-01-29 |
| Street Address |
19600 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1710511357 | Kyle James Koerner | Chiropractor | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-02-22 |
| 1306477096 | Kelsie Rhea Town | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-31 |
| 1669002515 | Charleen Brianne Sims | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-20 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1275098972 | Alfonso J Martinez Md LLC | Internal Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-02-06 |
| 1811481153 | Kimberly Harris | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2018-06-20 |
| 1821522186 | Rachel Anne Mcdonald | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-13 |
| 1326572876 | Joseph Sayegh | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-11 |
| 1144752767 | Erin Waldron | Registered Nurse | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1609154061 | Little Blue Emergency Physicians LLC | Emergency Medicine | 19300 East 39th Street, Independence, MO 64057 | 2011-08-02 |
| 1700057387 | Adult Quick Care, LLC | Emergency Medicine | 19000 E Eastland Center Ct, Independence, MO 64055-7022 | 2008-03-21 |
| 1932152543 | Alma P Navato | Emergency Medicine | 3345 S 291 Highway, Ste 301, Independence, MO 64067 | 2006-05-18 |
| 1487639332 | Curtis Birchall | Emergency Medicine | 5005 Rockside Rd, Suite 360, Independence, OH 44131-2194 | 2005-12-14 |
| 1437131208 | Aulton Dale Chisum | Emergency Medicine | 1509 W Truman Rd, Emergency Department, Independence, MO 64050-3436 | 2005-11-17 |
| 1205817871 | David R. Gustafson | Emergency Medicine | 3507 Shady Bend Dr, Independence, MO 64052-2860 | 2005-11-09 |
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1265827877 | Katelyn Harris | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2015-03-31 |
| 1144634148 | Angela Michele Vohs | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057 | 2014-06-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on WHITE CRYSTAL EMERGENCY PHYSICIANS, LLC.
| 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.