JAMES L SOUTHWELL JR. (NPI# 1740306273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740306273 |
Entity Type | Individual |
Full Name | JAMES L SOUTHWELL JR. |
Credential | DO |
Practice Address |
1004 Carondelet Dr Suite 410 Kansas City MO 64114-4801 |
Practice Telephone | 8169424500 |
Practice Fax Number | 8169414504 |
Mailing Telephone | 8169424500 |
Mailing Fax Number | 8169414504 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-01-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2010034070 | MO | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
O-0465 | ID | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-06053 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1740306273 | 05 | |
BLUE CROSS BLUE SHIELD OF KC | 44833018 | 01 | |
KS | 200681570A | 05 |
Street Address |
1004 CARONDELET DR SUITE 410 |
City | KANSAS CITY |
State | MO |
Zip Code | 64114-4801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538163035 | Colleen M Maynard | Obstetrics & Gynecology | 1004 Carondelet Dr, Ste 407, Kansas City, MO 64114-4836 | 2005-06-13 |
1881041549 | Kansas City Family Allergy,llc | Allergy & Immunology | 1004 Carondelet Dr, Suite 335, Kansas City, MO 64114-4801 | 2016-05-23 |
1700277589 | Prime Healthcare Services - Kansas City LLC | Pharmacy | 1004 Carondelet Dr, Suite 120, Kansas City, MO 64114-4801 | 2015-02-14 |
1972912152 | Callie Labeth | Nurse Practitioner | 1004 Carondelet Dr, Suite 410, Kansas City, MO 64114-4801 | 2014-08-12 |
1851651285 | Putul Murarka Allen | Pediatrics | 1004 Carondelet Dr, Ste 310, Kansas City, MO 64114-4801 | 2012-05-18 |
1093005423 | Becky Graham, D.o., P.C. | Obstetrics & Gynecology | 1004 Carondelet Dr, Suite 460, Kansas City, MO 64114-4801 | 2011-04-19 |
1649408287 | Cradle Thru College Care, LLC | Pediatrics | 1004 Carondelet Dr, Suite 310, Kansas City, MO 64114-4801 | 2009-06-22 |
1245474386 | Vanessa N. Johnson | Physician Assistant | 1004 Carondelet Dr, Suite 330, Kansas City, MO 64114-4801 | 2009-04-20 |
1952542219 | Thomas Lowell Schroder | Audiologist | 1004 Carondelet Dr, Suite 450, Kansas City, MO 64114-4801 | 2009-03-17 |
1700062221 | Jane E Jahnke Stewart Do | Family Medicine | 1004 Carondelet Dr, Ste 430, Kansas City, MO 64114-4801 | 2008-01-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
Find all providers in zip 64114 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
1124446406 | Amanda Jean Thuringer | Psychiatry & Neurology | Kansas University Medical Center Department, 3599 Rainbow Blvd., Mailstop 2012, Kansas City, KS 66160-0001 | 2014-04-02 |
1194080127 | Ashish Kulhari | Psychiatry & Neurology | 2330 E Meyer Blvd Ste 202, Kansas City, MO 64132-1132 | 2012-07-05 |
1659688646 | Rawan Albadareen | Psychiatry & Neurology | 3901 Rainbow Blvd # 1033, Kumc, Kansas City, KS 66160-2741 | 2010-09-12 |
1841447810 | Sarah Kathryn Gibbons | Psychiatry & Neurology | 4400 Broadway Blvd, Ste 520, Kansas City, MO 64111 | 2008-08-21 |
1770609216 | Maria Lourdes Ilagan Donato | Psychiatry & Neurology | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2007-03-22 |
1689791196 | Michael George Abraham | Psychiatry & Neurology | 3901 Rainbow Blvd Dpt of Neurology, Kansas City, KS 66160 | 2007-03-22 |
1801973813 | Parveen Kumar Khosla | Psychiatry & Neurology | 1000 Carondelet Dr Ste 200, Kansas City, MO 64114 | 2006-11-01 |
1932144573 | Mazen M Dimachkie | Psychiatry & Neurology | 3599 Rainbow Blvd # Ms 2012, Kansas City, KS 66103-2078 | 2006-06-18 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64114 |
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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.