LEES SUMMIT PHYSICIANS GROUP (NPI# 1902297518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902297518 |
Entity Type | Organization |
Organization Name | LEES SUMMIT PHYSICIANS GROUP |
Other Organization Name | RAINTREE PEDIATRICS |
Practice Address |
995 Sw 34th St Lees Summit MO 64082-4093 |
Mailing Address |
1425 Nw Blue Pkwy Lees Summit MO 64086-5705 |
Practice Telephone | 8165254700 |
Practice Fax Number | 8165252697 |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-18 |
Authorized Official Name | STEVEN WEINRICH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8165243223 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Raintree Pediatrics | Doing Business As Name - Organization |
Street Address |
995 SW 34TH ST |
City | LEES SUMMIT |
State | MO |
Zip Code | 64082-4093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689005886 | Physicians Reference Laboratory LLC | Clinical Medical Laboratory | 995 Sw 34th St, Lees Summit, MO 64082-4093 | 2013-12-12 |
1952785248 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 995 Sw 34th St, Lees Summit, MO 64082-4093 | 2015-07-16 |
1730508060 | Amanda Martin | Pediatrics | 995 Sw 34th St, Lees Summit, MO 64082-4093 | 2014-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619475357 | Core Care At Home LLC | In Home Supportive Care | 312 Southwest Greenwich Dr., Ste 184, Lees Summit, MO 64082 | 2018-01-29 |
1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
1033561030 | Kansas City Disc and Nerve Center | Chiropractor | 350 Sw Greenwich Dr., Lee's Summit, MO 64082 | 2016-07-01 |
1134365125 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3751 Hollywood Drive, Lees Summit, MO 64082 | 2008-12-23 |
1689604944 | Alicia M Bailey | Nurse Practitioner | 2325 Sw River Spring Cir, Lees Summit, MO 64082 | 2006-07-03 |
1407899131 | Family Care At Arbor Walk, LLC | Family Medicine | 1301 Sw Arbor Walk Blvd, Suite A, Lee's Summit, MO 64082 | 2006-06-13 |
1770538936 | Michelle Rene Britton-mehlisch | Family Medicine | 1301 A Arborwalk Blvd, Lees Summit, MO 64082 | 2006-05-24 |
1609848407 | Steven Ronsick | Internal Medicine | 741 Sw Admiral Byrd Dr, Lee's Summit, MO 64082 | 2006-02-06 |
1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
1518451426 | Karsyn Michelle Brettmann | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082 | 2018-06-15 |
Find all providers in zip 64082 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
1699941674 | Lee's Summit Physicians Group Urgent Care | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2008-04-30 |
1053341750 | Lees Summit Physicians Group, Inc | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
1811076763 | Nedra Diann Twillie | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
1528064102 | Joseph William Stafford Jr. | Pediatrics | 312 N Kentucky Ave, West Plains, MO 65775-2073 | 2005-06-28 |
Find all providers with the same taxonomy |
City | LEES SUMMIT |
Zip Code | 64082 |
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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.