INDEPENDENCE NEUROSURGERY SERVICES LLC (NPI# 1316993694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316993694 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE NEUROSURGERY SERVICES LLC |
| Other Organization Name | MIDWEST BRAIN AND SPINE ASSOCIATES |
| Practice Address |
1515 W Truman Rd Suite 607 Independence MO 64050-3436 |
| Practice Telephone | 8168330466 |
| Practice Fax Number | 8168334155 |
| Mailing Telephone | 8168330466 |
| Mailing Fax Number | 8168334155 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | PATRICK J KUENY (VP) |
| Authorized Official Telephone | 8168330466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS OF MO | 34862017 | 01 |
| KS | 200407980A | 05 | |
| MO | 509462404 | 05 |
| Other Name | Type Code |
|---|---|
| Midwest Brain and Spine Associates | Doing Business As Name - Organization |
| Street Address |
1515 W TRUMAN RD SUITE 607 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64050-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841851 | Bert E Park | Neurological Surgery | 1515 W Truman Rd, Suite 607, Independence, MO 64050-3436 | 2005-09-13 |
| 1841262094 | Independence Anesthesia Inc | Anesthesiology | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-02-02 |
| 1093786451 | William T Cooper | Nurse Anesthetist, Certified Registered | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-02-01 |
| 1124090592 | Linda L Ray | Nurse Anesthetist, Certified Registered | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-02-01 |
| 1255303616 | William A Stout | Nurse Anesthetist, Certified Registered | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-02-01 |
| 1861463200 | Marc A Turner | Anesthesiology | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-02-01 |
| 1104897776 | Mari A Butterfield | Anesthesiology | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-01-31 |
| 1013988674 | Carol A Blum | Anesthesiology | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-01-31 |
| 1821069386 | Sherman D House | Nurse Anesthetist, Certified Registered | 1515 W Truman Rd, Suite 108, Independence, MO 64050-3436 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698024 | Joshonna Price | Occupational Therapy Assistant | 810 E Walnut, Independence, MO 64050 | 2014-12-19 |
| 1003151770 | Melinda Stegner | Registered Nurse | 3445 South 291 Hwy, Ste 300, Independence, MO 64050 | 2012-12-06 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1568790749 | Charity Faith Morris | Case Manager/Care Coordinator | 314 E Pacific Avenue, Independence, MO 64050 | 2009-11-25 |
| 1225276090 | Best Smile, LLC | Dentist | 651 E 24 Hwy, Independence, MO 64050 | 2009-02-01 |
| 1396982468 | Independence Avenue Dental LLC | Clinic/Center | 1638 West 24 Highway, Independence, MO 64050 | 2009-01-12 |
| 1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| 1831284801 | Ronald Eugene Jennings | Dentist | 514 S Noland Road, Noland Medical Plaza Suite 120, Independence, MO 64050 | 2006-10-04 |
| 1841393782 | Carmel Hills Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 810 East Walnut, Independence, MO 64050 | 2006-09-06 |
| Find all providers in zip 64050 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841851 | Bert E Park | Neurological Surgery | 1515 W Truman Rd, Suite 607, Independence, MO 64050-3436 | 2005-09-13 |
| 1851709125 | Key Clinics LLC | Neurological Surgery | 4400 Rockside Rd, Suite 2200, Independence, OH 44131-2168 | 2014-07-30 |
| 1689697468 | Dennis A. Velez | Neurological Surgery | 19550 E 39th St S, Suite 105-a, Independence, MO 64057-2303 | 2006-07-25 |
| 1093709636 | Steven B Wilkinson | Neurological Surgery | 19550 E 39th St S, Suite 105-a, Independence, MO 64057-2303 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932752243 | Regional Brain & Spine LLC | Neurological Surgery | 1617 East Malone, Sikeston, MO 63801-5021 | 2019-07-17 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1144571373 | O. Gerald Orth | Neurological Surgery | 2404 Beachview Dr, Columbia, MO 65203-1409 | 2012-09-27 |
| 1013273580 | Stephen J Johans | Neurological Surgery | 232 S Woods Mill Rd Ste 400, Chesterfield, MO 63017-3467 | 2012-04-09 |
| 1912276486 | Paul Edward Stohr | Neurological Surgery | 2 Kirken Knoll Dr, Saint Louis, MO 63131-2310 | 2011-12-29 |
| 1275801896 | George Emanuel Mendelsohn | Neurological Surgery | 24 Loren Woods, Saint Louis, MO 63124-1903 | 2011-12-09 |
| 1891080503 | Olatilewa O Awe | Neurological Surgery | 802 N Riverside Rd Ste 150, Saint Joseph, MO 64507-2508 | 2011-06-10 |
| 1770802076 | Aneela Darbar | Neurological Surgery | 3635 Vista Ave, Grand Blvd, Saint Louis, MO 63110-0250 | 2010-05-26 |
| 1114246543 | Yusef I Mosley | Neurological Surgery | 4320 Wornall Rd Ste 2000, Kansas City, MO 64111-5941 | 2010-05-25 |
| 1639495922 | Bartosz T Grobelny | Neurological Surgery | 4320 Wornall Rd Ste 710, Kansas City, MO 64111 | 2010-04-13 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64050 |
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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.