KANSAS CITY UROLOGY CARE, P.A. (NPI# 1770120784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770120784 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY UROLOGY CARE, P.A. |
| Practice Address |
17525 Medical Center Pkwy Independence MO 64057-1824 |
| Mailing Address |
8551 Bluejacket St Lenexa KS 66214-1656 |
| Practice Telephone | 8169943151 |
| Practice Fax Number | 8163593044 |
| Mailing Telephone | 9133417985 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | MICHAEL BURNETT (COO) |
| Authorized Official Telephone | 9133417985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100798 | Kansas City Urology Care, P.a. | Non-Pharmacy Dispensing Site | 2750 Clay Edwards Dr Ste 500, North Kansas City, MO 64116-3258 | 2019-12-06 |
| 1528024676 | Kansas City Urology Care, P.a. | Urology | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1231 | 2006-04-25 |
| Street Address |
17525 MEDICAL CENTER PKWY |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669444030 | Mark A. Thompson | Radiology | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2006-02-01 |
| 1083171292 | Abbie Mae Obrien | Physician Assistant | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2019-02-24 |
| 1245492602 | Andrew B Morris | Urology | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2008-06-26 |
| 1346260361 | Andrew David Wright | Urology | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909150 | Dedicated Missouri Holding, LLC | Non-Pharmacy Dispensing Site | 3649 Page Blvd, Saint Louis, MO 63113-3807 | 2019-12-13 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1033629761 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 6601 Winchester Ave Ste 240, Kansas City, MO 64133-4657 | 2017-10-09 |
| 1861948697 | Midwest Health Group Convenient Care, LLC | Non-Pharmacy Dispensing Site | 123 N Mine La Motte St, Fredericktown, MO 63645-1201 | 2016-08-31 |
| 1114291515 | Burns & Mcdonnell | Non-Pharmacy Dispensing Site | 9400 Ward Pkwy, Kansas City, MO 64114-3319 | 2012-03-02 |
| 1811131956 | U.S. Optical | Non-Pharmacy Dispensing Site | 2346 S Campbell Ave, Springfield, MO 65807-2972 | 2009-04-20 |
| 1467661157 | Vitalsurge LLC | Non-Pharmacy Dispensing Site | 702 W 42nd St, Joplin, MO 64804-4564 | 2007-05-21 |
| 1477767259 | Ion Pharmaceuticals | Non-Pharmacy Dispensing Site | 2190 1st Capitol Dr, Saint Charles, MO 63301-5804 | 2007-05-10 |
| 1184703852 | Orthopedic Associates | Non-Pharmacy Dispensing Site | 1050 Des Peres Rd, Ste 100, Saint Louis, MO 63131-2042 | 2006-11-03 |
| 1790317402 | Dedicated Missouri Holding, LLC | Non-Pharmacy Dispensing Site | 175 N Oaks Plz, Saint Louis, MO 63121-2925 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on KANSAS CITY UROLOGY CARE, P.A..
| 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.