DR. STEPHEN M MESA (NPI# 1225033459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225033459 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M MESA |
| Credential | D.O. |
| Practice Address |
4419 S Crysler Ave Independence MO 64055-5906 |
| Practice Telephone | 8163560400 |
| Practice Fax Number | 8163560477 |
| Mailing Telephone | 8163560400 |
| Mailing Fax Number | 8163560477 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R50258 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD OF KANSAS CITY | 01240028 | 01 |
| MO | 240286708 | 05 | |
| MO | RAILROAD MEDICARE PALMETTO GBA | 080019432 | 01 |
| Street Address |
4419 S CRYSLER AVE |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427247808 | Robert L Williams, D.o.,p.c. | General Practice | 4419 S Crysler Ave, Independence, MO 64055-5948 | 2007-10-22 |
| 1477753069 | Annamay D Carlson | General Practice | 4419 S Crysler Ave, Independence, MO 64055-5948 | 2007-07-20 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184269532 | Simon Kinuthia | Family Medicine | 4911 S Arrowhead Dr Ste 200, Independence, MO 64055-7008 | 2019-11-08 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1831447317 | Ann Finkenbinder Goerz | Family Medicine | 4336 S Dover Ave, Independence, MO 64055-4834 | 2012-08-15 |
| 1871896035 | Donald A. Potts | Family Medicine | 17611 E Us Highway 24, Suite 103, Independence, MO 64056-1853 | 2010-12-09 |
| 1508018128 | Allison Louise Medlin | Family Medicine | 300 N Osage St, Suite 200, Independence, MO 64050-2705 | 2008-10-14 |
| 1184898439 | Colleen Elizabeth Clayton | Family Medicine | 6701 Rockside Rd Ste 260, Independence, OH 44131-2351 | 2008-04-17 |
| 1467624403 | Premier Health Clinic | Family Medicine | 6900 Granger Rd, #203, Independence, OH 44131-1414 | 2008-03-31 |
| 1760650352 | Independence Family Practice Clinic, LLC | Family Medicine | 6571 Brecksville Road, Suite #1, Independence, OH 44131 | 2008-02-15 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on DR. STEPHEN M MESA.
| 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.