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MIDWEST DOCTORS GROUP LLC NPI 1841462314


NPI Information

NPI: 1841462314
Provider Name: MIDWEST DOCTORS GROUP, LLC

Doing Business As: MID-AMERICA SPORTS MEDICINE AND WELLNESS

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
19550 E 39TH ST S
SUITE 419
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 795-8200
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MIDWEST DOCTORS GROUP, LLC is a sports medicine family medicine in Independence, MO. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. MIDWEST DOCTORS GROUP, LLC NPI is 1841462314. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid-america Sports Medicine And Wellness.

The provider's business location address is:

19550 E 39TH ST S
SUITE 419
INDEPENDENCE, MO
ZIP 64057-303
Phone: (816) 795-8200
Fax: (816) 795-7735

The provider's authorized official is Patrick J Kueny .
The authorized official title is Vice President and has the following contact phone number (816) 508-4090.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 12/16/2009.


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
1208M00000XHospitalistNo
2207QS0010XFamily MedicineSports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200584160 BMEDICAIDKANSAS
2200584160 AMEDICAIDKANSAS
31841462314MEDICAIDMISSOURI
4DO7474MEDICARE PINMISSOURI
5MA1431MEDICARE PINMISSOURI

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: 4/28/2024

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