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