CH Specialty Services Mo LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CH SPECIALTY SERVICES MO LLC

Practice address

400 SW Longview Blvd Ste 200
Lees Summit, MO 64081-2116

Phone

(337) 408-0797

Fax

(337) 943-0846

NPI assigned

Feb 9, 2023

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Howard

Title

Sr VP of Administrative Services

Phone

(337) 408-0797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 186

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.

• Tommi Jean Alcorn, FNP

  • Nurse Practitioner
  • Houston, MO
  • NPI 1538717871
  Medicare reassignment Care Compare group NPD
• Jessica Pegeen Allen, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1730204892
  Medicare reassignment Care Compare group NPD
• Peter I Angelin, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1225133440
  Medicare reassignment Care Compare group NPD
• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520
  Medicare reassignment Care Compare group NPD
• Kallie Bateman, FNP-BC

  • Family Nurse Practitioner
  • Exeter, MO
  • NPI 1881311512

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jonathan Robert Beers, DO

  • Internal Medicine Physician
  • Rolla, MO
  • NPI 1477783686
  Medicare reassignment Care Compare group NPD
• Dennis W Block, DO

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1235131897
  Medicare reassignment Care Compare group NPD
• Danette Bonecutter, FNP-C

  • Family Nurse Practitioner
  • Lee's Summit, MO
  • NPI 1477933604
  Medicare reassignment Care Compare group NPD
• Laura D. Boyer, MSN, FNP-C

  • Family Nurse Practitioner
  • Joplin, MO
  • NPI 1699374108
  Medicare reassignment Care Compare group NPD
• Allyson Victoria Lynn Braymer

  • Nurse Practitioner
  • Lee's Summit, MO
  • NPI 1497435432
  Medicare reassignment Care Compare group NPD
• Marki Burnett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jefferson Cty, MO
  • NPI 1114895208
  Medicare reassignment Care Compare group NPD
• Sara R Busch, AGNP-C

  • Nurse Practitioner
  • O'Fallon, MO
  • NPI 1669007100
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1194422253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812116",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH SPECIALTY SERVICES MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "337-408-0797"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan Denis Caye, D.D.S.
• CCRC of Lees Summit, LLC (Raintree Village)
• Vicki Kay Cederburg, LCSW, LSCSW, ACSW
• Cejj, Inc (Adjust4Life Wellness Center)
• Centerpointe Behavioral Health Kansas City, LLC (Signature Behavioral Healthcare)
• John P Chagoyan, PLPC, NCC
• Angela Chambers, BCBA
• Benjamin Hadley Chambers, D.C.
• Mary Jane Chandler, PHARM.D
• Joan Annie Chandra, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.