DR. JAY R PEMBERTON (NPI# 1700878907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700878907 |
| Entity Type | Individual |
| Full Name | DR. JAY R PEMBERTON |
| Credential | DO |
| Practice Address |
201 W R D Mize Rd Blue Springs MO 64014-2518 |
| Mailing Address |
Po Box 414965 Kansas City MO 64141-4965 |
| Practice Telephone | 8162285900 |
| Mailing Telephone | 9132341350 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 36771 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS MO | 12605135 | 01 |
| Street Address |
201 W R D MIZE RD |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241593 | Medical Emergency Associates L.L.C. | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-09 |
| 1326126657 | Jonghyuck Peter Lee | Pharmacist | 201 W R D Mize Rd, Blue Springs, MO 64014 | 2006-11-02 |
| 1326053133 | Physicians Reference Laboratory LLC | Pathology | 201 W R D Mize Rd, Blue Springs, MO 64015-2518 | 2006-07-30 |
| 1235121914 | William D Galvin Jr. | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-18 |
| 1255323101 | Steven A Lorber | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-17 |
| 1104818053 | Daniel K Bixler | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-17 |
| 1982696928 | Robert M Johnston | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-16 |
| 1720070923 | Ameet Deshmukh | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-16 |
| 1003818592 | Robert L Henley Jr. | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-15 |
| 1508868159 | Jeffrey P Girkin | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780931345 | Sheridan Emergency Physician Services of Missouri, Inc. | Emergency Medicine | 201 Nw R.d. Mize Rd, Blue Springs, MO 64014 | 2012-08-13 |
| 1235131897 | Dennis W Block | Emergency Medicine | 1916 Nw Copper Oaks Cir, Blue Springs, MO 64015-8300 | 2005-08-12 |
| 1346241593 | Medical Emergency Associates L.L.C. | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-09 |
| 1306315692 | Jackson Emergency Physicians LLC | Emergency Medicine | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-11-16 |
| 1235121914 | William D Galvin Jr. | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-18 |
| 1255323101 | Steven A Lorber | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-17 |
| 1104818053 | Daniel K Bixler | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-17 |
| 1982696928 | Robert M Johnston | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-16 |
| 1720070923 | Ameet Deshmukh | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-16 |
| 1003818592 | Robert L Henley Jr. | Emergency Medicine | 201 W R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-15 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
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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.