PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC (NPI# 1427449487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427449487 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC |
| Practice Address |
930 Carondelet Dr Ste 201 Kansas City MO 64114-4698 |
| Mailing Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
| Practice Telephone | 8163896100 |
| Mailing Telephone | 8169432583 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Telephone | 3102594706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500022593 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 Nw Rd Mize Rd Ste 400, Blue Springs, MO 64014 | 8162289841 | |
| 100 Nw Mock Ave Ste 200, Blue Springs, MO 640142500 | 8162281000 | |
| 930 Carondelet Dr Ste 200, Kansas City, MO 641144698 | 8169435690 | |
| 206 Nw Mock Ave Ste 200, Blue Springs, MO 640142530 | 8164168633 | |
| 1000 Carondelet Dr Ste 200, Kansas City, MO 641144673 | 8169424500 | |
| 1000 Carondelet Dr, Kansas City, MO 641144673 | 8169434758 | |
| 1004 Carondelet Dr Ste 440, Kansas City, MO 641144845 | 8169437777 | |
| 302 Se Salem St, Oak Grove, MO 640759299 | 8166906566 | |
| 1000 Carondelet Dr Ste 100, Kansas City, MO 641144673 | 8169419030 | |
| 7201 E 147th St Ste 120, Grandview, MO 640304204 | 9139562250 | |
| 3200 Ne Ralph Powell Rd, Lees Summit, MO 640642301 | 8165251600 | |
| 1000 Carondelet Dr Ste 201b, Kansas City, MO 641144673 | 9139562250 | |
| 203 Nw Rd Mize Rd Ste 200, Blue Springs, MO 64014 | 8162201117 |
| Street Address |
930 CARONDELET DR STE 201 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946304 | Jeffrey R Althoff | Emergency Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2005-07-20 |
| 1497245070 | Jennifer Lindquist | Dietitian, Registered | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2018-05-18 |
| 1598147837 | Susan Ling | Nurse Practitioner | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-06-23 |
| 1477948073 | Kansas City Cardiology | Clinic/Center | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-03-31 |
| 1972680627 | Timothy W. Smith | Internal Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2006-11-01 |
| 1275509648 | Robert Michael Chang | Obstetrics & Gynecology | 930 Carondelet Dr Ste 201, Kansas City, MO 64114 | 2006-02-27 |
| 1235101528 | Edwina Parrish-littlejohn | Physician Assistant | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2006-02-02 |
| 1881665081 | Tommy K Ko | Internal Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114 | 2006-01-27 |
| 1164419388 | Janet M Dunn | Psychiatry & Neurology | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834774 | Lowell Fletcher | Family Medicine | Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 | 2018-06-11 |
| 1467943571 | Stopgap | Family Medicine | 202 Admiral Blvd, Kansas City, MO 64106-1504 | 2018-05-24 |
| 1376048876 | Eddy I Ndichie Jr. | Family Medicine | 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236 | 2018-03-27 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1639692098 | Partners In Primary Care Nc P C | Family Medicine | 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 | 2017-07-18 |
| 1740719749 | Alejandro Javier Montoya | Family Medicine | 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 | 2017-06-05 |
| 1689024382 | Christopher Hazen Short | Family Medicine | 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 | 2016-06-14 |
| 1063889905 | Plaza Aesthetics & Wellness LLC | Family Medicine | 4806 Belleview Ave, Kansas City, MO 64112-1321 | 2015-08-26 |
| 1174904544 | Nathan L Boehr | Family Medicine | 5643 Locust St, Kansas City, MO 64110-2735 | 2015-06-11 |
| 1992107585 | Richard Cruz Ibarra | Family Medicine | 754 Pacific Ave, Kansas City, KS 66101-3714 | 2014-09-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES 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.