SAMUEL U. RODGERS HEALTH CENTER, INC. (NPI# 1225216211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225216211 |
| Entity Type | Organization |
| Organization Name | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| Practice Address |
2100 E 9th St Kansas City MO 64124 |
| Mailing Address |
2100 E 9th St Kansas City MO 64124-2364 |
| Practice Telephone | 8164744920 |
| Practice Fax Number | 8164744914 |
| Mailing Telephone | 8164744920 |
| Mailing Fax Number | 8164744914 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | ROBERT THEIS (ACTING CEO) |
| Authorized Official Telephone | 8168894802 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE A | 26-1832 | 01 |
| MO | 170859102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386195113 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 5330 N Oak Trfy Ste 104, Kansas City, MO 64118-4600 | 2016-10-17 |
| 1114236189 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 6400 E 23rd St, Kansas City, MO 64129 | 2010-09-24 |
| 1982931655 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 800 Haines Drive, Liberty, MO 64068 | 2009-11-17 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1174037519 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 1501 Nw Jefferson St, Blue Springs, MO 64015 | 2017-11-21 |
| 1073950135 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 2121 Summit St, Kansas City, MO 64108-2126 | 2013-05-30 |
| 1578570982 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 825 Euclid Avenue, Kansas City, MO 64124 | 2006-08-01 |
| 1518902360 | Samuel U. Rodgers Health Center, Inc. | Specialist | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2006-06-17 |
| Street Address |
2100 E 9TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982191474 | Marcia Jean Mason | Speech-Language Pathologist | 345 N. Elmwood, Kansas City, MO 64124 | 2018-04-19 |
| 1215249933 | Scuola Vita Nuova Charter School | Local Education Agency (LEA) | 544 Wabash Avenue, Kansas City, MO 64124 | 2010-07-10 |
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1700059276 | Veronica Rodriguez | Home Health Aide | 303 S Cypress, Kansas City, MO 64124 | 2008-04-07 |
| 1336103134 | Joel Maurice Feder | Family Medicine | 4601 Independence Ave, Kansas City, MO 64124 | 2006-04-17 |
| 1770024663 | Kansas City Care Clinic | Clinic/Center | 4601 Independence Ave, Kansas City, MO 64124 | 2017-03-13 |
| 1780997361 | Susan D. Putnam | Speech-Language Pathologist | 544 Wabash Avenue, Kansas City, MO 64124 | 2010-07-23 |
| 1912135450 | Catricia R Tilford | Pediatrics | 825 Euclid Ave, Kansas City, MO 64124 | 2009-06-23 |
| 1356577829 | Lauren Elizabeth Andreas | Dentist | 825 Euclid Ave, Mc 0242, Kansas City, MO 64124 | 2009-06-10 |
| 1497927305 | Toni Shante Zink | Family Medicine | 825 Euclid Ave, Kansas City, MO 64124 | 2008-03-31 |
| Find all providers in zip 64124 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851954341 | Aloysius De'mon Davis Sr. | Licensed Practical Nurse | 6240 Nebraska Ave, Kansas City, KS 66102-1356 | 2019-04-19 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1871939637 | Larhonda Smith | Licensed Practical Nurse | 9905 Drury Ave, Kansas City, MO 64137-1329 | 2013-05-20 |
| 1811245103 | Dennis Madison Sanders Jr. | Licensed Practical Nurse | 4516 E 47th St, Kansas City, MO 64130-2228 | 2012-08-17 |
| 1730435264 | Nekia A Hill | Licensed Practical Nurse | 6919 N Edison Ave, Kansas City, MO 64151-2295 | 2012-08-02 |
| 1437432697 | Gina Kay Johnson | Licensed Practical Nurse | 4200 E 61st St, Kansas City, MO 64130-4621 | 2011-09-23 |
| 1265742845 | Gaela Anne Fisher | Licensed Practical Nurse | 13201 E. 53rd Street, Kansas City, MO 64133 | 2010-10-15 |
| 1306155858 | Debbie Lynn Hartsell | Licensed Practical Nurse | 13856 Wyandotte St, Kansas City, MO 64145-1518 | 2010-10-01 |
| 1831411297 | Sondra Gaynelle Hawk | Licensed Practical Nurse | 4901 Ne Barry Rd, Kansas City, MO 64156-1219 | 2010-02-25 |
| 1033342944 | Trina L Lipka | Licensed Practical Nurse | 5051 Belmeade Rd, Kansas City, MO 64129-1918 | 2009-08-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64124 |
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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.