HEALTHSTAT ON-SITE CLINIC-CITY OF INDEPENDENCE (NPI# 1992101380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992101380 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC-CITY OF INDEPENDENCE |
| Practice Address |
1520 E 23rd St S Suite 1 Independence MO 64055-1600 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | MR. WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1520 E 23RD ST S SUITE 1 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494585 | Peter M Gray | Dentist | 1520 E 23rd St S, Independence, MO 64055-1657 | 2005-08-12 |
| 1073838694 | Jay Robinson Md PC | Specialist | 1520 E 23rd St S, Suite R, Independence, MO 64055-1600 | 2010-04-07 |
| 1003021668 | Us Pt Therapy Services Inc | Durable Medical Equipment & Medical Supplies | 1520 E 23rd St S, Suite D, Independence, MO 64055-1600 | 2007-05-14 |
| 1477570380 | Janet E Morgan, Md, PC | Family Medicine | 1520 E 23rd St S, Suite I, Independence, MO 64055-1657 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1699279604 | Kim Krystal Koike | Preventive Medicine | 13 Great Lakes Dr, Saint Peters, MO 63376-3225 | 2018-03-23 |
| 1700393840 | Healthstat American National Insurance Co | Preventive Medicine | 1949 E Sunshine St, Springfield, MO 65899-0001 | 2018-01-10 |
| 1720486756 | Healthstat On-site Clinic Watlow Hannibal Mo | Preventive Medicine | 6 Industrial Loop, Hannibal, MO 63401-6052 | 2014-12-08 |
| 1558769596 | Healthstat On-site Clinic Watlow Columbia Mo | Preventive Medicine | 2101 Pennsylvania Dr, Columbia, MO 65202-1937 | 2014-12-08 |
| 1376940080 | Healthstat On-site Clinic Watlow St. Louis | Preventive Medicine | 12001 Lackland Rd, Saint Louis, MO 63146-4001 | 2014-11-24 |
| 1437555729 | Health On-site Clinic Polsinelli Kansas City Mo | Preventive Medicine | 900 W 48th Pl, Suite 900, Kansas City, MO 64112-1895 | 2014-11-13 |
| 1255684452 | Healthstat On-site Clinic/mcc | Preventive Medicine | 3444 Broadway St, Kansas City, MO 64111-2412 | 2012-10-25 |
| 1659677656 | Belisario R Cabanilla | Preventive Medicine | 800 N Lindbergh Blvd # Lc1f, Saint Louis, MO 63167-0001 | 2011-02-08 |
| 1376748863 | Midwest Occupational Medicine, PC | Preventive Medicine | 3037 Main St, Suite 201, Kansas City, MO 64108-3357 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC-CITY OF INDEPENDENCE.
| 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.