HEALTHSTAT ON-SITE CLINIC/MCC (NPI# 1255684452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255684452 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/MCC |
| Practice Address |
3444 Broadway St Kansas City MO 64111-2412 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 8166044555 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3444 BROADWAY ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437555729 | Health On-site Clinic Polsinelli Kansas City Mo | Preventive Medicine | 900 W 48th Pl, Suite 900, Kansas City, MO 64112-1895 | 2014-11-13 |
| 1376748863 | Midwest Occupational Medicine, PC | Preventive Medicine | 3037 Main St, Suite 201, Kansas City, MO 64108-3357 | 2007-06-15 |
| 1275513236 | Scott R Steelman | Preventive Medicine | 9151 Ne 81st Ter, Kansas City, MO 64158-1294 | 2006-01-18 |
| 1134572670 | Healthstat Onsite Amsted Gw Kansas | Preventive Medicine | 7111 Griffin Rd, Kansas City, KS 66111-2406 | 2016-07-20 |
| 1639201577 | William Theodore Raue | Preventive Medicine | 1650 Broadway St, Kansas City, MO 64108-1208 | 2007-03-09 |
| 1679528673 | Paul Dew | Preventive Medicine | 1010 Carondelet Dr, Ste 220, Kansas City, MO 64114-4859 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1699279604 | Kim Krystal Koike | Preventive Medicine | 13 Great Lakes Dr, Saint Peters, MO 63376-3225 | 2018-03-23 |
| 1700393840 | Healthstat American National Insurance Co | Preventive Medicine | 1949 E Sunshine St, Springfield, MO 65899-0001 | 2018-01-10 |
| 1720486756 | Healthstat On-site Clinic Watlow Hannibal Mo | Preventive Medicine | 6 Industrial Loop, Hannibal, MO 63401-6052 | 2014-12-08 |
| 1558769596 | Healthstat On-site Clinic Watlow Columbia Mo | Preventive Medicine | 2101 Pennsylvania Dr, Columbia, MO 65202-1937 | 2014-12-08 |
| 1376940080 | Healthstat On-site Clinic Watlow St. Louis | Preventive Medicine | 12001 Lackland Rd, Saint Louis, MO 63146-4001 | 2014-11-24 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1659677656 | Belisario R Cabanilla | Preventive Medicine | 800 N Lindbergh Blvd # Lc1f, Saint Louis, MO 63167-0001 | 2011-02-08 |
| 1679783930 | Gary J Fortune | Preventive Medicine | 18375 Walnut Crst, Marthasville, MO 63357-2159 | 2007-05-23 |
| 1972684264 | Leslie M. Tharenos | Preventive Medicine | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC/MCC.
| 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.