INDEPENDENCE ASC LLC (NPI# 1407828494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407828494 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE ASC LLC |
| Other Organization Name | THE ENDOSCOPY CENTER - EAST |
| Practice Address |
3800 S Whitney Ave Suite 100 Independence MO 64055-6765 |
| Practice Telephone | 8164784887 |
| Practice Fax Number | 8163502196 |
| Mailing Telephone | 8164784887 |
| Mailing Fax Number | 8163502196 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
83-10 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200369500A | 05 |
| Other Name | Type Code |
|---|---|
| The Endoscopy Center - East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942272851 | Independence Asc LLC | Clinic/Center | 9601 Ne 79th St, Kansas City, MO 64158-1117 | 2006-02-03 |
| 1386616050 | Independence Asc LLC | Clinic/Center | 5330 N Oak Trfy, Suite 100, Kansas City, MO 64118-4625 | 2006-02-06 |
| Street Address |
3800 S WHITNEY AVE SUITE 100 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627101 | Yan Chen | Specialist | 3800 S Whitney Ave, # 200, Independence, MO 64055-6765 | 2005-05-23 |
| 1801286844 | Digestive Health Specialists, LLC | Internal Medicine | 3800 S Whitney Ave, Suite 200, Independence, MO 64055-6739 | 2015-01-29 |
| 1417054404 | Rishi Singh Grewal | Internal Medicine | 3800 S Whitney Ave, #200, Independence, MO 64055-6739 | 2006-09-20 |
| 1932189768 | Consultants In Gastroenterology, PC | Specialist | 3800 S Whitney Ave, Suite 200, Independence, MO 64055-6739 | 2006-01-18 |
| 1417950379 | Steven D Kaster | Specialist | 3800 S Whitney Ave, #200, Independence, MO 64055-6739 | 2005-05-24 |
| 1770586638 | Syed M Khalid | Specialist | 3800 S Whitney Ave, # 200, Independence, MO 64055-6765 | 2005-05-24 |
| 1497758346 | Burnell Landers | Specialist | 3800 S Whitney Ave, # 200, Independence, MO 64055-6765 | 2005-05-24 |
| 1407859358 | David D Zoller | Spec/Tech, Pathology | 3800 S Whitney Ave, # 200, Independence, MO 64055-6765 | 2005-05-24 |
| 1295738219 | Arthur L Brock | Specialist | 3800 S Whitney Ave, # 200, Independence, MO 64055-6765 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558679779 | A Mother's Love Birthing Center | Clinic/Center | 9710 E 40 Hwy, Independence, MO 64055-6116 | 2010-09-22 |
| 1255643771 | The Highlands Surgery Center, LLC | Clinic/Center | 17000 E Us Highway 40, Suite 11, Independence, MO 64055-5323 | 2010-07-13 |
| 1710910922 | Surgery Center of Independence Lp | Clinic/Center | 19550 East 39th Street, Suite 100, Independence, MO 64050 | 2006-07-09 |
| 1861485138 | Discover Eye Surgery Center, LLC | Clinic/Center | 4801 S Cliff Ave, Ste 101, Independence, MO 64055-7015 | 2005-08-23 |
| 1467767905 | The Highlands Anesthesia PC | Clinic/Center | 17000 E Us Highway 40, Suite 11, Independence, MO 64055-5323 | 2010-08-09 |
| 1306098116 | Midamerica Plastic Surgery Center | Clinic/Center | 4820 S Arrowhead Dr, Independence, MO 64055-6980 | 2008-10-13 |
| 1174709786 | Rockside Road Surgery Center, LLC | Clinic/Center | 6701 Rockside Rd, Suite 101, Independence, OH 44131-2358 | 2008-01-14 |
| 1881765337 | Midwest Plastic Surgery and Laser Center, LLC | Clinic/Center | 4820 S Arrowhead Dr, Independence, MO 64055-6980 | 2006-11-13 |
| 1063430775 | Independence Surgery Center, LLC | Clinic/Center | 6701 Rockside Rd, Ste. 101, Independence, OH 44131-2358 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
| 1801443320 | St. Luke's Surgery Center of Chesterfield, LLC | Clinic/Center | 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 | 2019-08-20 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1467925180 | Metro St Louis Surgery Center LLC | Clinic/Center | 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 | 2019-01-04 |
| 1295207587 | Commons South Surgery Center, LLC | Clinic/Center | 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 | 2018-12-26 |
| 1922574391 | The Phoenix Oversight and Consulting, LLC. | Clinic/Center | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2018-10-23 |
| 1700363611 | Apollo Ambulatory Surgery Center, LLC | Clinic/Center | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2018-07-24 |
| 1336649565 | Advanced Surgical Care of St. Louis, LLC | Clinic/Center | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2018-02-14 |
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1093224297 | United Physicians Group, LLC | Clinic/Center | 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 | 2017-09-20 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.