Organization Active NPI

Stanley Sharp MD LC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1154577799
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
R6B11 Issued in MO
Legal business name
STANLEY SHARP MD LC
Practice address
1310 Carondelet Dr Ste 230
Kansas City, MO 64114-4853
Phone
(816) 777-8888
Fax
(816) 777-1777
NPI assigned
Aug 14, 2008
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Vicki Sharp, ARNP
Title
Practice Manager
Phone
(816) 777-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X R6B11 MO Primary

Addresses

Primary practice location

1310 Carondelet Dr Ste 230
Kansas City, MO 64114-4853

Mailing address

5209 W 68TH St
Prairie Village, KS 66208-1417
Phone (816) 777-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080905000125 MO Part B Supplier - Clinic/Group Practice 1456427053 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas, MO
O20141112001511 KS Part B Supplier - Clinic/Group Practice 1456427053 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Locations

8900 State Line Rd
Ste 375
Leawood, KS 66206
Phone (816) 777-8888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1154577799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 W 68TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662081417",
            "telephone_number": "816-777-8888",
            "fax_number": "816-777-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CARONDELET DR STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144853",
            "telephone_number": "816-777-8888",
            "fax_number": "816-777-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY SHARP MD LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-777-8888",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R6B11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.