PRIMARY CARE CENTER OF KANSAS CITY LLC (NPI# 1386739035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386739035 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE CENTER OF KANSAS CITY LLC |
| Other Organization Name | PRIMARY CARE CENTER OF KANSAS CITY |
| Practice Address |
4741 S Arrowhead Suite B Independence MO 64055 |
| Mailing Address |
Po Box 480497 Kansas City MO 64148 |
| Practice Telephone | 8167956000 |
| Practice Fax Number | 8167956064 |
| Mailing Telephone | 8167956000 |
| Mailing Fax Number | 8167956064 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. JAN LYNN JOHNSON (PHYSICIAN OWNER) |
| Authorized Official Telephone | 8167956000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0101786 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 248700718 | 05 |
| Other Name | Type Code |
|---|---|
| Primary Care Center of Kansas City | Other Name - Individual/Organization |
| Street Address |
4741 S ARROWHEAD SUITE B |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427143171 | Urgent Care of Kansas City LLC | Clinic/Center | 4741 S Arrowhead, Suite B, Independence, MO 64055 | 2006-10-04 |
| 1104930999 | Jan Lynn Johnson | Specialist | 4741 S Arrowhead, Suite B, Independence, MO 64055 | 2006-08-18 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861511859 | Heartland Medical Care PC | Clinic/Center | 10010 E Truman Road, Independence, MO 64052 | 2007-03-28 |
| 1245785740 | Family Care & Wellness LLC | Clinic/Center | 19101 E Valley View Pkwy, Suite D, Independence, MO 64055-6904 | 2016-08-24 |
| 1205236023 | Cleveland Clinic | Clinic/Center | 5001 Rockside Rd, Independence, OH 44131-2172 | 2014-08-28 |
| 1285896993 | Montgomery County Community Clinic, Inc | Clinic/Center | 900 W Myrtle St, Suite 105, Independence, KS 67301-3242 | 2008-06-25 |
| 1063698827 | Medbasics Missouri LLC | Clinic/Center | 4201 S Noland Rd, Independence, MO 64055-7313 | 2008-01-10 |
| 1912014929 | Mercy Kansas Communities Inc | Clinic/Center | 800 W Laurel St, Independence, KS 67301-3211 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145668 | Essential Benefit Offerings, LLC | Clinic/Center | 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 | 2020-05-07 |
| 1114483468 | Your Optimal Healthcare LLC | Clinic/Center | 300 W 4th St Ste H, Eureka, MO 63025-1839 | 2019-02-12 |
| 1306313051 | Country Care Family Clinic, LLC | Clinic/Center | 3 E Cleveland Ave, Ellsinore, MO 63937 | 2018-10-31 |
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on PRIMARY CARE CENTER OF KANSAS CITY LLC.
| 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.