INDEPENDENCE ASC LLC (NPI# 1942272851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942272851 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE ASC LLC |
| Other Organization Name | THE ENDOSCOPY CENTER - LIBERTY |
| Practice Address |
9601 Ne 79th St Kansas City MO 64158-1117 |
| Practice Telephone | 8164784887 |
| Mailing Telephone | 8164784887 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
158-0 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200369500A | 05 | |
| MO | 507557007 | 05 |
| Other Name | Type Code |
|---|---|
| The Endoscopy Center - Liberty | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386616050 | Independence Asc LLC | Clinic/Center | 5330 N Oak Trfy, Suite 100, Kansas City, MO 64118-4625 | 2006-02-06 |
| 1407828494 | Independence Asc LLC | Clinic/Center | 3800 S Whitney Ave, Suite 100, Independence, MO 64055-6765 | 2006-02-03 |
| Street Address |
9601 NE 79TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64158-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1083135008 | Garrett Leland Coffelt | Physical Therapist | 9223 Ne 152 Highway, Kansas City, MO 64158 | 2017-06-29 |
| 1336500537 | Danielle Leeper | Dentist | 9101 Ne 82nd Ter, Kansas City, MO 64158 | 2016-03-15 |
| 1780056135 | Bryan Watanabe Dds Liberty Dental Group PC | Dentist | 8291 N Booth Avenue, Kansas City, MO 64158 | 2015-10-26 |
| 1235551771 | Julie G. Vantasell | Nurse Practitioner | 9151 Ne 81st, Ste 105, Kansas City, MO 64158 | 2014-01-17 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1558659920 | Massage Heights Shoal Creek | Health Maintenance Organization | 9225 Ne 152 Hwy, Liberty, MO 64158 | 2011-07-19 |
| 1245427954 | Maureen Graham Giraldo | Social Worker | 9601 Ne Barry Rd Ste 220, Kansas City, MO 64158 | 2007-09-26 |
| 1861695090 | D. Scott Thomas | Dentist | 9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158 | 2007-06-06 |
| 1538262688 | Richard Bradley Gaik | Dentist | 8568 N Church Rd, Kansas City, MO 64158 | 2006-09-06 |
| Find all providers in zip 64158 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
| 1023428281 | Heartland Regional Medical Center | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-04-28 |
| 1912993833 | Surgicenter of Kansas City, LLC | Clinic/Center | 701 E 101st Terrace, Kansas City, MO 64131-4271 | 2005-09-26 |
| 1114929411 | Heart of America Surgery Center, LLC | Clinic/Center | 8935 State Ave, Kansas City, KS 66112-1645 | 2005-06-01 |
| 1023010311 | Blue Ridge Surgical Center, LLC | Clinic/Center | 4240 Blue Ridge Blvd, Ste 950, Kansas City, MO 64133-1755 | 2005-06-01 |
| 1124522495 | Kc Childrens Surgery Center LLC | Clinic/Center | 7848 State Ave, Kansas City, KS 66112-2417 | 2018-03-21 |
| 1376045146 | Saint Lukes Surgery Center Shoal Creek, LLC | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2018-03-07 |
| 1750835179 | Total Joint Center of The Northland, LLC | Clinic/Center | 200 Ne 54th St, Suite 200, Kansas City, MO 64118 | 2016-08-15 |
| 1700263415 | North Point Surgery Center, LLC | Clinic/Center | 5151 Nw 88th St, Kansas City, MO 64154 | 2015-05-01 |
| 1538592092 | Heart of America Asc, LLC | Clinic/Center | 8935 State Ave, Kansas City, KS 66112-1645 | 2013-08-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64158 |
Please comment or provide details below to improve the information on INDEPENDENCE ASC 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.