CH Specialty Services Mo LLC
Organization Active NPI Internal Medicine Physician · Lees Summit, MO
NPI 1194422253 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1194422253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Practitioners 186
-
Tommi Jean Alcorn, FNP
-
Jessica Pegeen Allen, LCSW
-
Peter I Angelin, MD
-
Eric A. Barnes, D.O.
-
Kallie Bateman, FNP-BC
-
Dennis W Block, DO
-
Danette Bonecutter, FNP-C
-
Laura D. Boyer, MSN, FNP-C
-
Marki Burnett, PMHNP
-
Sara R Busch, AGNP-C
-
John J Cascone, M.D.
-
Jolie Rae Chance, D.O.
-
Magin Lea Chapman, APRN, BC-FNP
-
Steven Michael Cicero, D.O.
-
Stacy Lynn Clarke, FNP-C
-
Edgar M. Conrad IV, D.O.
-
Esther Copeland, FNP
-
Gretchen Davis, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230313000663 | MO | Part B Supplier - Clinic/Group Practice | 0345614459 | Receives reassigned benefits from 181 practitioners |
National Provider Directory
Locations
1701 NW Jefferson St
Blue Springs, MO 64015
Phone (816) 220-1739
1720 Vieth Dr
Jefferson Cty, MO 65109
Phone (573) 635-6193
2323 E 63rd St
#100
Kansas City, MO 64130
10150 N Ambassador Dr
Kansas City, MO 64153
9601 N Tullis Dr
Kansas City, MO 64157
Phone (816) 342-4112
500 NW Chipman Rd
Lees Summit, MO 64086
400 SW Longview Blvd
Ste 280
Lees Summit, MO 64081
Phone (816) 477-7200
400 SW Longview Blvd
Lees Summit, MO 64081
Phone (816) 761-3944
600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866
2555 Norterre Cir
Liberty, MO 64068
Phone (816) 335-0058
1309 N Hovis St
Mountain Grove, MO 65711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
400 SW Longview Blvd Ste 200
Lees Summit, MO 64081-2116
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5334
Phone (337) 408-0797
Other providers in Lees Summit, MO
- Stephan Denis Caye
- CCRC of Lees Summit, LLC
- Vicki Kay Cederburg
- Cejj, Inc
- Centerpointe Behavioral Health Kansas City, LLC
- John P Chagoyan
- Angela Chambers
- Benjamin Hadley Chambers
- Mary Jane Chandler
- Joan Annie Chandra
All providers in Lees Summit, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.