SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC (NPI# 1710056502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710056502 |
Entity Type | Organization |
Organization Name | SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC |
Other Organization Name | STAPLETON FAMILY HEALTH CENTER |
Practice Address |
9784 N Ash Avenue Kansas City MO 64157 |
Practice Telephone | 8167814244 |
Practice Fax Number | 8167813542 |
Mailing Telephone | 8167814244 |
Mailing Fax Number | 8167813542 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | WENDY RENEE STAPLETON (PRACTICE MANAGER) |
Authorized Official Telephone | 8167814244 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 113071 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BCBS GROUP NUMBER | 32015013 | 01 |
Other Name | Type Code |
---|---|
Stapleton Family Health Center | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720183346 | Shoal Creek Family Medicine and Allergy, PC | Family Medicine | 301 S Platte Clay Way, Suite B, Kearney, MO 64060-8214 | 2006-09-14 |
Street Address |
9784 N ASH AVENUE |
City | KANSAS CITY |
State | MO |
Zip Code | 64157 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043343346 | Mary C Dugan | Nurse Practitioner | 9784 N Ash Avenue, Kansas City, MO 64157 | 2007-03-14 |
1912030297 | Meghan E Macy | Nurse Practitioner | 9784 N Ash Avenue, Kansas City, MO 64157 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609425008 | Jon Ann Esponge | Nurse Practitioner | 11021 N Potter Ave, Kansas City, MO 64157 | 2019-09-09 |
1376978510 | Tuan Bui | Optometrist | 8560 Church Rd, Kansas City, MO 64157 | 2013-09-06 |
1720219678 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8650 North Flintlock, Kansas City, MO 64157 | 2009-07-27 |
1558588186 | Midwest Home Health Care, Inc. | Home Health | 9012 N Glenwood Ave, Kansas City, MO 64157 | 2007-04-18 |
1922138320 | Wolfgang Andrew Schaller | Dentist | 8672 N Flintlock Rd, Kansas City, MO 64157 | 2007-03-06 |
1699851378 | Robert Kipp Klein | Dentist | 9764 N Ash, Kansas City, MO 64157 | 2006-10-27 |
1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
1992056295 | Goodway Health Services LLC | Nurse Practitioner | 9900 N Willow Ave, Kansas City, MO 64157-1045 | 2012-09-26 |
1205189982 | Doctor At Your Door, Inc | Family Medicine | 9900 N Willow Ave, Kansas City, MO 64157-1045 | 2012-10-18 |
1932428109 | John Alan Ross | Specialist/Technologist, Other | 9905 N Willow Ave, Kansas City, MO 64157-1046 | 2010-05-26 |
Find all providers in zip 64157 |
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 | 64157 |
Please comment or provide details below to improve the information on SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC.
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.