SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC


Address: 9784 N Ash Avenue, Kansas City, MO 64157
Phone: 8167814244

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 113071 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO BCBS GROUP NUMBER 32015013 01

Other Provider/Organization Names

Other Name Type Code
Stapleton Family Health Center Former Legal Business Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 9784 N ASH AVENUE
City KANSAS CITY
State MO
Zip Code 64157

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City KANSAS CITY
Zip Code 64157

Improve Information

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Dataset Information

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.

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