NPI 1063693232 · live from the CMS NPI Registry
Carondelet Physician Services INC.
Internal Medicine in Blue Springs, MO. National Provider Identifier 1063693232, active.
NPI record
| NPI | 1063693232 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 220 Nw Rd Mize Rd, Suite 101, Blue Springs, MO 64014 |
| Practice phone | 816-228-9841 |
| Mailing address | 801 Nw Saint Mary Dr, Suite 230, Blue Springs, MO 64014 |
| Enumerated | November 16, 2007 |
| Last updated | May 6, 2011 |
| Authorized official | Steven Cleary, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 0431315 (KS) |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | 2006003132 (MO) |
| Internal Medicine, Pulmonary Disease | 207RP1001X | R8H50 (MO) |
| Obstetrics & Gynecology | 207V00000X | 2004006974 (MO) |
| Orthopaedic Surgery | 207X00000X | 100628 (MO) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 2010008119 (MO) |
| Surgery | 208600000X | R4B19 (MO) |
| Internal Medicine primary | 207R00000X | 35929 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.