John William Klema III, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R9142 Issued in MO

Practice address

4963 NE Goodview Cir Ste B
Lees Summit, MO 64064-2491

Phone

(816) 795-7100

Fax

(816) 795-7105

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1013019579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 B NE GOODVIEW CIRCLE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-795-7100",
            "fax_number": "816-795-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "816-795-7100",
            "fax_number": "816-795-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMA",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241071109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Kirk
• Julie E Kirkpatrick
• Michael Owen Kirse, D.C.
• Douglas Klein, RPH
• Sue A. Klein, P.T.
• Elisabeth Dorothy Klemme
• James Andrew Kleoppel, DDS
• Shelby Kleoppel, LMSW
• Kliem Conquers Counseling
• Kayenne V Kline

• Family Medicine Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.