MYOCORE, LLC (NPI# 1316138316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316138316 |
| Entity Type | Organization |
| Organization Name | MYOCORE, LLC |
| Other Organization Name | KC CORE, LLC |
| Practice Address |
7900 Lee's Summit Rd Kansas City MO 64139-1246 |
| Mailing Address |
601 Se Melody Ln Lees Summit MO 64063-4804 |
| Practice Telephone | 8164049120 |
| Practice Fax Number | 8164049122 |
| Mailing Telephone | 8162191977 |
| Mailing Fax Number | 8164340898 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | CHRISTINA OWEN (GENERAL MANAGER) |
| Authorized Official Telephone | 8162191977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2007035558 | MO | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| KC Chiropractic Occupational Rehabilitation & Exercise, LLC | Former Legal Business Name - Organization |
| KC CORE, LLC | Former Legal Business Name - Organization |
| Street Address |
7900 LEE'S SUMMIT RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64139-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1639494586 | Michael David Marling | Podiatrist | 7900 Lee's Summit Rd, Kansas City, MO 64139-1246 | 2010-04-05 |
| 1669537916 | Kristin Janell Kruse | Obstetrics & Gynecology | 7900 Lee's Summit Rd, Kansas City, MO 64139-1236 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1831126358 | Megan Marie Despain | Emergency Medicine | 7900 Lee's Summit Road, Truman Medical Center Lakewood, Kansas City, MO 64139 | 2006-06-28 |
| 1427513878 | Kirsten Anne Reilly | Pediatrics | 7900 Lee's Summit Road, Department of Community and Family Medicine, Kansas City, MO 64139 | 2019-02-08 |
| 1710482419 | Carolyn Coyle Hesson | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139 | 2018-03-26 |
| 1275078552 | Elizabeth Liu | Family Medicine | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2016-12-22 |
| 1447629407 | Paula Yvonne Holmes | Registered Nurse | 7900 Lees Summit Rd, Kansas City, MO 64139 | 2015-09-21 |
| 1962881375 | Hareesh Gadde | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139 | 2015-05-19 |
| 1689052938 | Colleen Mathis | Pediatrics | 7900 Lees Summit Rd, Kansas City, MO 64139 | 2015-05-07 |
| 1821417338 | Christopher Fox | Internal Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139 | 2014-04-11 |
| 1821416611 | Kevin W Gray | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139 | 2014-03-31 |
| Find all providers in zip 64139 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286577 | Matthew Burton | Chiropractor | 10801 E 50th St, Kansas City, MO 64133-2209 | 2020-08-20 |
| 1457979668 | Harrison Vawter | Chiropractor | 300 W 74th Ter, Kansas City, MO 64114-5746 | 2020-07-14 |
| 1710504477 | Summer Reed | Chiropractor | 4250 N Oak Trfy, Kansas City, MO 64116-4541 | 2020-06-29 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1992327613 | Quantum Wellness LLC | Chiropractor | 7280 Nw 87th Ter # C210, Kansas City, MO 64153-3720 | 2020-05-15 |
| 1104450428 | Anthony C Bolin II | Chiropractor | 1800 Wyandotte St # 201, Kansas City, MO 64108-1902 | 2020-02-25 |
| 1942834478 | Chirofit LLC | Chiropractor | 600 Broadway Blvd Ste 175, Kansas City, MO 64105-1536 | 2020-02-24 |
| 1952943482 | Lisa Vawter | Chiropractor | 7019 Oak St, Kansas City, MO 64113-2500 | 2019-10-16 |
| 1114578846 | Taylor Phipps | Chiropractor | 103 Archibald St, Kansas City, MO 64111-2214 | 2019-09-24 |
| 1588211544 | Sean Wattenbarger | Chiropractor | 612 E 117th Ter, Kansas City, MO 64131-3862 | 2019-08-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64139 |
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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.