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MEDICAL GROUP OF KANSAS CITY LLC NPI 1407803273


NPI Information

NPI: 1407803273
Provider Name: MEDICAL GROUP OF KANSAS CITY, LLC

Other Name: THE MEDICAL GROUP OF KANSAS CITY, LLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 17D1072585

Address:
6675 HOLMES RD
SUITE 550
KANSAS CITY, MO
ZIP 64131
Phone: (816) 363-7710
Get Directions

MEDICAL GROUP OF KANSAS CITY, LLC is an internal medicine in Kansas City, 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. MEDICAL GROUP OF KANSAS CITY, LLC NPI is 1407803273. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Medical Group Of Kansas City, Llc.

The provider's business location address is:

6675 HOLMES RD
SUITE 550
KANSAS CITY, MO
ZIP 64131-167
Phone: (816) 363-7710
Fax: (816) 363-8414

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

The CLIA number assigned to this NPI record is 17D1072585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 11/1/2013.


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
1207R00000XInternal 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
1100452640AMEDICAIDKANSAS
2P010000AMEDICARE PINKANSAS
324143031OTHERMISSOURIBCBS OF KANSAS
4DA1334MEDICARE PIN
5100452640BMEDICAIDKANSAS
6501165203MEDICAIDMISSOURI
7P010000MEDICARE PINMISSOURI
8P010000AMEDICARE PIN

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.