COREY MICHAEL WHITESIDES (NPI# 1689019614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689019614 |
| Entity Type | Individual |
| Full Name | COREY MICHAEL WHITESIDES |
| Credential | P.A.-C |
| Practice Address |
2790 Clay Edwards Dr Ste 600 Kansas City MO 64116-3276 |
| Practice Telephone | 8165613003 |
| Practice Fax Number | 8168891584 |
| Mailing Telephone | 8165613003 |
| Mailing Fax Number | 8168891584 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2013013231 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2013013231 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2790 CLAY EDWARDS DR STE 600 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64116-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689113813 | Amanda Bedwell | Physician Assistant | 2790 Clay Edwards Dr, Ste 600, Kansas City, MO 64116-3276 | 2017-02-21 |
| 1194081398 | Jaime Swinney | Nurse Practitioner | 2790 Clay Edwards Dr, Ste 600, Kansas City, MO 64116-3276 | 2012-04-02 |
| 1801167556 | Darren B Quaile | Physician Assistant | 2790 Clay Edwards Dr, Ste 600, Kansas City, MO 64116 | 2012-01-25 |
| 1083821904 | Michael N. Fine, Dpm, PC | Podiatrist | 2790 Clay Edwards Dr, Ste 570, Kansas City, MO 64116-3276 | 2007-05-17 |
| 1881783132 | Phyllis Louise Kessler | Specialist/Technologist, Other | 2790 Clay Edwards Dr, Suite 506, Kansas City, MO 64116-3276 | 2006-10-12 |
| 1285744458 | Dwayne Jones, Md, LLC | Anesthesiology | 2790 Clay Edwards Dr, Kansas City, MO 64116-3276 | 2006-08-30 |
| 1932163797 | Mangesh D Oza | Surgery | 2790 Clay Edwards Dr, Suite 625, Kansas City, MO 64116-3276 | 2006-04-17 |
| 1356317952 | Dwayne E Jones | Anesthesiology | 2790 Clay Edwards Dr, Kansas City, MO 64116-3276 | 2006-02-24 |
| 1609842236 | Ann Yeawon Lee | Physical Medicine & Rehabilitation | 2790 Clay Edwards Dr, Ste 600, Kansas City, MO 64116-3276 | 2006-02-24 |
| 1154302917 | Rebecca C Burfeind | Anesthesiology | 2790 Clay Edwards Dr, Kansas City, MO 64114 | 2005-11-09 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1427017904 | Kimberly R. Bogart | Physician Assistant | 2601 Midwest Dr., Kansas City, KS 66111 | 2006-03-22 |
| 1033743554 | Michael Bedwell | Physician Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-02-24 |
| 1457823742 | Samantha Jo Belvin | Physician Assistant | 4321 Washington St Ste 6000, Kansas City, MO 64111-5930 | 2018-12-26 |
| 1154831642 | David Vaughn Porter Jr. | Physician Assistant | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2017-10-10 |
| 1487177523 | Vinesha Byers | Physician Assistant | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2017-07-20 |
| 1689113813 | Amanda Bedwell | Physician Assistant | 2790 Clay Edwards Dr, Ste 600, Kansas City, MO 64116-3276 | 2017-02-21 |
| 1912441403 | Lindsay Mccrite | Physician Assistant | 340 Southwest Blvd, Kansas City, KS 66103-2150 | 2016-12-19 |
| 1124477195 | Katherine Edstrom Shedd | Physician Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-06-09 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64116 |
Please comment or provide details below to improve the information on COREY MICHAEL WHITESIDES.
| 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.