JAYHAWK PRIMARY CARE INC (NPI# 1831685353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831685353 |
| Entity Type | Organization |
| Organization Name | JAYHAWK PRIMARY CARE INC |
| Other Organization Name | SPRINT CENTER HEALTH CARE |
| Practice Address |
1403 Grand Blvd Kansas City MO 64106-2917 |
| Practice Telephone | 8162684295 |
| Practice Fax Number | 8162684297 |
| Mailing Telephone | 8162684295 |
| Mailing Fax Number | 8162684297 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | CARRIE JANELL JORDAN (SENIOR ADMINISTRATOR, JPC ADMIN.) |
| Authorized Official Telephone | 9139455592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sprint Center Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813879 | Jayhawk Primary Care Inc | Clinic/Center | 1403 Grand Blvd, Kansas City, MO 64106 | 2015-02-17 |
| 1356308878 | Jayhawk Primary Care Inc | Family Medicine | 6515 N Cosby Ave, Picture Hills Family Medicine, Kansas City, MO 64151-2380 | 2006-04-27 |
| 1790742765 | Jayhawk Primary Care Inc | Family Medicine | 4721 S Cliff Ave, Family Care of Independence Suite 200, Independence, MO 64055-7016 | 2006-04-26 |
| 1417919283 | Jayhawk Primary Care Inc | Family Medicine | 6420 N Prospect Ave, Gladstone, MO 64119-1530 | 2006-04-05 |
| 1487062592 | Jayhawk Primary Care Inc | Clinic/Center | 3901 Rainbow Blvd, University of Kansas Hospital Urgent Care / G110 Delp, Kansas City, KS 66160-0001 | 2014-08-01 |
| 1063847812 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1326383274 | Jayhawk Primary Care Inc | Family Medicine | 4810 State Ave, State Avenue Health Care, Kansas City, KS 66102-1748 | 2012-12-04 |
| 1932460177 | Jayhawk Primary Care Inc | Family Medicine | 10777 Nall Ave, Ste 140, Overland Park, KS 66211-1362 | 2012-06-05 |
| 1245521814 | Jayhawk Primary Care Inc | Durable Medical Equipment & Medical Supplies | 7405 Renner Road, Ku Medwest Therapy, Shawnee, KS 66217-0000 | 2011-04-29 |
| 1982845970 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste. 310, Overland Park, KS 66211-0000 | 2009-03-20 |
| Street Address |
1403 GRAND BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64106-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813879 | Jayhawk Primary Care Inc | Clinic/Center | 1403 Grand Blvd, Kansas City, MO 64106 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538509724 | William Ballew Mccollum | Independent Medical Examiner | 601 E. 12th St., 12th Floor, Kansas City, MO 64106 | 2013-07-02 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1124187760 | State of Missouri | Day Training, Developmentally Disabled Services | 821 E Admiral Blvd, Kansas City, MO 64106 | 2006-12-08 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1487661369 | Steve A Rueb | Dentist | 1125 Grand Blvd, Suite 1313, Kansas City, MO 64106 | 2006-08-02 |
| 1275933103 | Comassion Home Care, LLC | Home Health | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1487054284 | Compassion Home Care, LLC | In Home Supportive Care | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1689803561 | Christina Marie Maenle | Registered Nurse | 3901 Rainbow, Suite G600, Kansas City, KS 64106 | 2009-07-13 |
| 1609025782 | Concentra Health Services, Inc. | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2008-09-15 |
| 1659580918 | Michael Kent Whitehead | Marriage & Family Therapist | 500 E 3rd St, #634, Kansas City, MO 64106-1010 | 2007-05-22 |
| Find all providers in zip 64106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834774 | Lowell Fletcher | Family Medicine | Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 | 2018-06-11 |
| 1467943571 | Stopgap | Family Medicine | 202 Admiral Blvd, Kansas City, MO 64106-1504 | 2018-05-24 |
| 1376048876 | Eddy I Ndichie Jr. | Family Medicine | 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236 | 2018-03-27 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1639692098 | Partners In Primary Care Nc P C | Family Medicine | 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 | 2017-07-18 |
| 1740719749 | Alejandro Javier Montoya | Family Medicine | 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 | 2017-06-05 |
| 1689024382 | Christopher Hazen Short | Family Medicine | 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 | 2016-06-14 |
| 1063889905 | Plaza Aesthetics & Wellness LLC | Family Medicine | 4806 Belleview Ave, Kansas City, MO 64112-1321 | 2015-08-26 |
| 1174904544 | Nathan L Boehr | Family Medicine | 5643 Locust St, Kansas City, MO 64110-2735 | 2015-06-11 |
| 1992107585 | Richard Cruz Ibarra | Family Medicine | 754 Pacific Ave, Kansas City, KS 66101-3714 | 2014-09-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64106 |
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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.