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COREY MICHAEL WHITESIDES P.A.-C NPI 1689019614


NPI Information

NPI: 1689019614
Provider Name: COREY MICHAEL WHITESIDES, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: KANSAS UNIVERSITY PHYSICIANS INC

PECOS Registration: Yes

Address:
2790 CLAY EDWARDS DR
STE 600
KANSAS CITY, MO
ZIP 64116
Phone: (816) 561-3003
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Corey Michael Whitesides, P.A.-C is a medical physician assistant in Kansas City, MO with 11 years of experience. Corey Michael Whitesides, P.A.-C NPI is 1689019614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2790 CLAY EDWARDS DR
STE 600
KANSAS CITY, MO
ZIP 64116-276
Phone: (816) 561-3003
Fax: (816) 889-1584

The NPI 1689019614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of knee joint (HCPCS:27447)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 5/3/2013 and was last updated on 5/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical2013013231MISSOURINo
2363AM0700XPhysician AssistantMedical2013013231MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.