Head and Neck Surgical Associates of Lees Summit LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

HEAD AND NECK SURGICAL ASSOCIATES OF LEES SUMMIT LLC

Practice address

3340 NE Ralph Powell Rd
Lees Summit, MO 64064-2368

Phone

(816) 875-2604

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Booth

Title

Manager

Phone

(816) 875-2604

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara A Gabriel, AUD

  • Audiologist
  • Liberty, MO
  • NPI 1417184037
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1205308871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642368",
            "telephone_number": "816-875-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642368",
            "telephone_number": "816-875-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK SURGICAL ASSOCIATES OF LEES SUMMIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-875-2604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Hathaway, RN
• Constance Jennifer Ann Hayden, RN
• Kristina Hayden, RBT
• Jessica Hayles, NP-C
• Megan Hazel, MOT, OTR/L
• Healing Grace Ministries, Inc
• Healing Pathway Victim Service Agency
• Healthcare Equipment Providers
• Healthcare Exclusively for Women PA
• Healthy Family Chiropractic, LLC

• Otolaryngology Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.