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INDEPENDENCE SURGICAL CLINIC INC. NPI 1144348012


NPI Information

NPI: 1144348012
Provider Name: INDEPENDENCE SURGICAL CLINIC, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
19550 EAST 39TH STREET S
SUITE 325
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 373-4646
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INDEPENDENCE SURGICAL CLINIC, INC. is a surgery in Independence, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. INDEPENDENCE SURGICAL CLINIC, INC. NPI is 1144348012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19550 EAST 39TH STREET S
SUITE 325
INDEPENDENCE, MO
ZIP 64057-310
Phone: (816) 373-4646
Fax: (816) 373-7831

The provider's authorized official is Pascal E Spehar .
The authorized official title is President and has the following contact phone number (816) 373-4646.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/30/2007.


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
1208600000XSurgery105155MISSOURIYes

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
11620000BMEDICARE ID-TYPE UNSPECIFIEDMISSOURI
200486013OTHERMISSOURIBCBS

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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