MARY M WURTZ (NPI# 1922033018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922033018 |
| Entity Type | Individual |
| Full Name | MARY M WURTZ |
| Credential | MD |
| Practice Address |
4911 S Arrowhead Drive Suite 201 Independence MO 64055 |
| Practice Telephone | 8164788113 |
| Practice Fax Number | 8164788108 |
| Mailing Telephone | 8164788113 |
| Mailing Fax Number | 8164788108 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
R8G42 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS KANSAS CITY | 73428017 | 01 | |
| MO | 203414800 | 05 |
| Street Address |
4911 S ARROWHEAD DRIVE SUITE 201 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629002753 | Jackson County Pulmonary PC | Internal Medicine | 4911 S Arrowhead Drive, Suite 201, Independence, MO 64055 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629002753 | Jackson County Pulmonary PC | Internal Medicine | 4911 S Arrowhead Drive, Suite 201, Independence, MO 64055 | 2006-07-11 |
| 1225473473 | Jackson County Pulmonary Medical Group LLC | Internal Medicine | 4911 S Arrowhead Dr, Suite 201, Independence, MO 64055-7005 | 2013-05-01 |
| 1144457227 | Stephanie Young Clough | Internal Medicine | 5001 Rockside Rd, Crown Center II 2nd Floor, Independence, OH 44131 | 2009-06-16 |
| 1508881293 | Anthony G Migliazzo | Internal Medicine | 4911 S Arrowhead Dr, Suite 201, Independence, MO 64055-7005 | 2006-07-13 |
| 1750337036 | Ohio Chest Physicians Ltd | Internal Medicine | 6701 Rockside Rd, Suite 100, Independence, OH 44131-2358 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700365707 | Telemedico Physicians of Missouri | Internal Medicine | 9191 N Ambassador Dr, Kansas City, MO 64154-7247 | 2018-08-09 |
| 1851807291 | David Terry Curiel | Internal Medicine | 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 | 2017-12-21 |
| 1598011694 | Mohannad Naheid I Abu Omar | Internal Medicine | 5301 Faraon St Ste 210a, Saint Joseph, MO 64506-3512 | 2012-07-26 |
| 1922381615 | Critical Care Pulmonary & Sleep Medicine Assoc LLC | Internal Medicine | 1390 Highway 61 Ste 2300, Festus, MO 63028-4121 | 2011-09-20 |
| 1851671689 | Mid-mo Lung Associates, LLC | Internal Medicine | 1801 Brookfield Mnr, Columbia, MO 65203-6246 | 2011-08-24 |
| 1245535459 | Midwest Acute Care Consultants, PC | Internal Medicine | 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 | 2011-01-19 |
| 1699083451 | Hamza Alshami | Internal Medicine | 2330 E Meyer Blvd Ste T303, Kansas City, MO 64132-1160 | 2010-09-15 |
| 1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
| 1841448198 | Pulmonary Critical Care and Sleep Medicine, LLC | Internal Medicine | 3009 New Ballas Road, Suite 256c, St. Louis, MO 63131-2322 | 2008-08-28 |
| 1366698573 | Steven Weintraub | Internal Medicine | 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.