CLAY M ANDERSON (NPI# 1588601215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588601215 |
| Entity Type | Individual |
| Full Name | CLAY M ANDERSON |
| Credential | MD |
| Practice Address |
4150 N Mulberry Dr Kansas City MO 64116-1779 |
| Practice Telephone | 8169124539 |
| Practice Fax Number | 8558136642 |
| Mailing Telephone | 8169124539 |
| Mailing Fax Number | 8558136642 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 113467 | MO | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
113467 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE SHIELD | 117784 | 01 |
| MO | 208722306 | 05 | |
| MO | BLUE CHOICE | 117784 | 01 |
| MO | UNITED HEALTHCARE | 3609051 | 01 |
| MO | HEALTHLINK | 331048 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9393 W 110th St Ste 500, Overland Park, KS 662101464 | 9138006971 | 8558451844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268860 | Clay Anderson | Family Medicine | 1990 Holton Ave E, Big Stone Gap, VA 24219-3350 | 2020-06-01 |
| 1700015435 | Clay Wesley Anderson | Dentist | 1409 N 12th St, Frederick, OK 73542-2020 | 2009-07-02 |
| Street Address |
4150 N MULBERRY DR |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64116-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255389920 | William Baker Drake IIi | Pediatrics | 4150 N Mulberry Dr, Suite 150, Kansas City, MO 64116-1779 | 2006-05-05 |
| 1851729412 | Vpa PC | Internal Medicine | 4150 N Mulberry Dr, Kansas City, MO 64116-1779 | 2013-10-17 |
| 1003195215 | Philip B Augustine | Internal Medicine | 4150 N Mulberry Dr, Kansas City, MO 64116 | 2011-08-05 |
| 1346383155 | Briarcliff Ambulatory Surgery Center Lp | Clinic/Center | 4150 N Mulberry Dr, Ste 100, Kansas City, MO 64116-1779 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1548795990 | Karajo Sprigg | Internal Medicine | 4330 Wornall Rd Ste 65, Kansas City, MO 64111-3201 | 2017-04-24 |
| 1396195194 | Brandon Carlisle | Internal Medicine | 4000 Cambridge St # Ms 1020, Kansas City, KS 66160 | 2016-06-13 |
| 1174972368 | Michael Joseph Freitag | Internal Medicine | 3901 Rainbow Blvd, Ms 2027, Kumc Imresidency Program, Kansas City, KS 66160-0001 | 2016-06-08 |
| 1609224880 | Sara Ann Stewart | Internal Medicine | Kumc Imresidency Program, 3901 Rainbow Blvd, Ms 2027, Kansas City, KS 66160-0001 | 2016-05-29 |
| 1730537994 | Gregg Werner | Internal Medicine | Kumc Imresidency Program 3901 Rainbow Blvd Ms 2027, Kansas City, KS 66160-0001 | 2016-05-28 |
| 1730534520 | Larry Mathias IIi | Internal Medicine | 7602 Pennsylvania Ave, Kansas City, MO 64114-1736 | 2016-04-28 |
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64116 |
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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.