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CARONDELET PHYSICIAN SERVICES INC. NPI 1063693232


NPI Information

NPI: 1063693232
Provider Name: CARONDELET PHYSICIAN SERVICES INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
220 NW RD MIZE RD
SUITE 101
BLUE SPRINGS, MO
ZIP 64014
Phone: (816) 228-9841
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CARONDELET PHYSICIAN SERVICES INC. is an internal medicine in Blue Springs, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CARONDELET PHYSICIAN SERVICES INC. NPI is 1063693232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

220 NW RD MIZE RD
SUITE 101
BLUE SPRINGS, MO
ZIP 64014-527
Phone: (816) 228-9841
Fax: (816) 228-1514

The provider's authorized official is Steven R Cleary .
The authorized official title is Cfo and has the following contact phone number (816) 943-2819.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 5/6/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0431315KANSASNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism2006003132MISSOURINo
3207RP1001XInternal MedicinePulmonary DiseaseR8H50MISSOURINo
4207V00000XObstetrics & Gynecology2004006974MISSOURINo
5207X00000XOrthopaedic Surgery100628MISSOURINo
62084N0400XPsychiatry & NeurologyNeurology2010008119MISSOURINo
7208600000XSurgeryR4B19MISSOURINo
8207R00000XInternal Medicine35929MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139532013OTHERBLUE CROSS BLUE SHIELD
2200640420AMEDICAIDKANSAS
3501269500MEDICAIDMISSOURI
46076320003MEDICARE NSCMISSOURI
5MA1922MEDICARE PINMISSOURI
6KA2102MEDICARE PINKANSAS
7130758MEDICARE PINKANSAS
8Y360000MEDICARE 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: 5/5/2024

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.