JAMES L SOUTHWELL JR.


Address: 1004 Carondelet Dr, Suite 410, Kansas City, MO 64114-4801
Phone: 8169424500

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO 1740306273 05
BLUE CROSS BLUE SHIELD OF KC 44833018 01
KS 200681570A 05

Office Location

Street Address 1004 CARONDELET DR
SUITE 410
City KANSAS CITY
State MO
Zip Code 64114-4801

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City KANSAS CITY
Zip Code 64114

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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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