BRIDGE INTEGRATIVE MEDICINE LLC (NPI# 1740784214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740784214 |
| Entity Type | Organization |
| Organization Name | BRIDGE INTEGRATIVE MEDICINE LLC |
| Practice Address |
305 Nw Englewood Ct Ste 200 Kansas City MO 64118 |
| Mailing Address |
305 Nw Englewood Court Suite 200 Kansas City MO 64118-4000 |
| Practice Telephone | 8164545433 |
| Practice Fax Number | 8164548455 |
| Mailing Telephone | 8164545433 |
| Mailing Fax Number | 8164548455 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | DR. JAMES A WYLLIE (CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 8164545433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
305 NW ENGLEWOOD CT STE 200 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
| 1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
| 1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
| 1376870865 | Summit Behavioral Services, LLC | Community/Behavioral Health | 1460 Nw Vivion Rd, Kansas City, MO 64118 | 2009-11-04 |
| 1568634376 | Sharon L. Rider | Counselor | 200 Ne 54th St. Suite 202, Creekwood II, Kc, MO 64118 | 2008-04-01 |
| Find all providers in zip 64118 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629310370 | Sarah Jane Beck | General Practice | 4332 Harrison St, Kansas City, MO 64110-1626 | 2013-03-20 |
| 1366714404 | Premise Health of Missouri Medical P C | General Practice | 9450 Ward Pkwy, Kansas City, MO 64114-3319 | 2012-02-06 |
| 1083833677 | Arthur Paul Greenberg | General Practice | 2004 Nw 82nd Ct, Kansas City, MO 64151-3763 | 2007-04-24 |
| 1235251331 | Carlos Arnoldo Fierro | General Practice | 226 N 7th St, Kansas City, KS 66101-3202 | 2007-04-06 |
| 1497831267 | Charles John Rudolph Jr. | General Practice | 2800 Kendallwood Parkway, Suite A, Kansas City, MO 64119 | 2006-10-27 |
| 1265465363 | Northland Medical and Wellness Center LLC | General Practice | 8355 Nw Barrybrooke Dr, Kansas City, MO 64151-1024 | 2006-07-09 |
| 1255387866 | United Medical Group, LLC | General Practice | 5701 State Ave, Suite 100, Kansas City, KS 66102-1236 | 2006-05-25 |
| 1720055668 | Coatney Clinic, Inc | General Practice | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2006-02-28 |
| 1811552029 | Georgeanne Emerson Cornell | General Practice | 2301 Holmes Street, Kansas City, MO 64108 | 2019-05-02 |
| 1700324738 | Sara Jane Anderson | General Practice | 1000 E 24th St, Kansas City, MO 64108-2776 | 2017-02-09 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64118 |
Please comment or provide details below to improve the information on BRIDGE INTEGRATIVE MEDICINE 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.