Plaza Primary Care and Geriatrics

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PLAZA PRIMARY CARE AND GERIATRICS

Practice address

4440 Broadway St
Kansas City, MO 64111-3315

Phone

(816) 561-9200

Fax

(816) 561-5766

NPI assigned

Jul 14, 2006

Organization subpart

Yes

Parent organization

PLAZA PRIMARY CARE AND GERIATRICSAs reported in NPPES

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

Authorized official

Name

Mrs. Regina G Foster

Title

Office Manager

Phone

(815) 561-9200

Specialties & licenses 1

Addresses

Part of

Plaza Primary Care and Ge

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1225054331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-561-9200",
            "fax_number": "816-561-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-561-9200",
            "fax_number": "816-561-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PRIMARY CARE AND GERIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLAZA PRIMARY CARE AND GERIATRICS",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-561-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.