Active NPI
Lee's Summit Physicians Group - Internal Medicine LLC
- Internal Medicine Physician
- Lee's Summit, MO
National Provider Identifier
1174156343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEE'S SUMMIT PHYSICIANS GROUP - INTERNAL MEDICINE LLC
- Practice address
- 1425 NW Blue Pkwy
Lees Summit, MO 64086-5705 - Phone
- (816) 524-3223
- NPI assigned
- Feb 17, 2020
- Last updated
- Feb 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Fletcher
- Title
- Coo
- Phone
- (816) 524-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1425 NW Blue Pkwy
Lees Summit, MO 64086-5705
Mailing address
1425 NW Blue Pkwy
Lees Summit, MO 64086-5705
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LSPGIM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1558368381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1174156343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 NW BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 NW BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865705",
"telephone_number": "816-524-3223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE'S SUMMIT PHYSICIANS GROUP - INTERNAL MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "816-524-3223"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LSPGIM",
"affiliation": "N",
"address_1": "1425 NW Blue Pkwy",
"city": "Lees Summit",
"state": "MO",
"country_code": "US",
"postal_code": "640865705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lee's Summit, MO
- Shelby Lee, PT, DPT
- Lee's Summit Chiropractic Center P.C.
- Lee's Summit Chiropractic Group
- Lee's Summit Dermatology Associates I, PC
- Lee's Summit Family Care LLC
- Lee's Summit Physicians Group Urgent Care
- Lee's Summit R-7 School District
- Lee's Summit School District R-7
- Lee's Summit Surgicenter, LLC (Surgery Center of Lee's Summit)
- Lees Summit Center for Womens Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.