DR. EDDY I NDICHIE JR.


Address: 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236
Phone: 8164047753

DR. EDDY I NDICHIE JR. (NPI# 1376048876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376048876
Entity Type Individual
Full Name DR. EDDY I NDICHIE JR.
Credential MD
Practice Address 7900 Lees Summit Rd Fl 3
Kansas City
MO 64139-1236
Practice Telephone 8164047753
Mailing Telephone 8164047753
Enumeration Date 2018-03-27
Last Update Date 2020-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2020017704 MO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 2020017704 MO Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 7900 LEES SUMMIT RD FL 3
City KANSAS CITY
State MO
Zip Code 64139-1236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386843621 State of Missouri Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15555 Little Blue Rd, Kansas City, MO 64139 2007-07-17
1225122518 Patricia A Cyrus Nurse Practitioner 7900 Lee's Summit Rd, Kansas City, MO 64139 2006-10-03
1831126358 Megan Marie Despain Emergency Medicine 7900 Lee's Summit Road, Truman Medical Center Lakewood, Kansas City, MO 64139 2006-06-28
1427513878 Kirsten Anne Reilly Pediatrics 7900 Lee's Summit Road, Department of Community and Family Medicine, Kansas City, MO 64139 2019-02-08
1710482419 Carolyn Coyle Hesson Student in an Organized Health Care Education/Training Program 7900 Lees Summit Rd, Kansas City, MO 64139 2018-03-26
1275078552 Elizabeth Liu Family Medicine 7900 Lee's Summit Road, Kansas City, MO 64139 2016-12-22
1447629407 Paula Yvonne Holmes Registered Nurse 7900 Lees Summit Rd, Kansas City, MO 64139 2015-09-21
1962881375 Hareesh Gadde Family Medicine 7900 Lees Summit Rd, Kansas City, MO 64139 2015-05-19
1689052938 Colleen Mathis Pediatrics 7900 Lees Summit Rd, Kansas City, MO 64139 2015-05-07
1821417338 Christopher Fox Internal Medicine 7900 Lees Summit Rd, Kansas City, MO 64139 2014-04-11
Find all providers in zip 64139

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356834774 Lowell Fletcher Family Medicine Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 2018-06-11
1467943571 Stopgap Family Medicine 202 Admiral Blvd, Kansas City, MO 64106-1504 2018-05-24
1891218541 Elizabeth Swarna Mukherjee Family Medicine 2000 Olathe Blvd, Kansas City, KS 66160 2017-07-24
1639692098 Partners In Primary Care Nc P C Family Medicine 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 2017-07-18
1740719749 Alejandro Javier Montoya Family Medicine 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 2017-06-05
1689024382 Christopher Hazen Short Family Medicine 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 2016-06-14
1063889905 Plaza Aesthetics & Wellness LLC Family Medicine 4806 Belleview Ave, Kansas City, MO 64112-1321 2015-08-26
1174904544 Nathan L Boehr Family Medicine 5643 Locust St, Kansas City, MO 64110-2735 2015-06-11
1992107585 Richard Cruz Ibarra Family Medicine 754 Pacific Ave, Kansas City, KS 66101-3714 2014-09-25
1023447190 Medstaffpc Family Medicine 2360 Armour Rd, Kansas City, MO 64116-3261 2013-11-08
Find all providers in KANSAS CITY

Competitor

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City KANSAS CITY
Zip Code 64139

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Dataset Information

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.

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