Active NPI
Eichenauer MD LLC
- Medical Specialty Clinic/Center
- Kansas City, MO
National Provider Identifier
1285413856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- EICHENAUER MD LLC
- Practice address
- 209 E 68TH St
Kansas City, MO 64113-2436 - Phone
- (816) 514-6998
- Fax
- (602) 584-6860
- NPI assigned
- Sep 25, 2023
- Last updated
- Sep 25, 2023
- 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
- Dr. Stefan Eichenauer, MD
- Title
- Owner
- Phone
- (217) 358-1967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
209 E 68TH St
Kansas City, MO 64113-2436
Mailing address
209 E 68TH St
Kansas City, MO 64113-2436
Phone (816) 514-6998
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1285413856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E 68TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641132436",
"telephone_number": "816-514-6998",
"fax_number": "602-584-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E 68TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641132436",
"telephone_number": "816-514-6998",
"fax_number": "602-584-6860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EICHENAUER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-24",
"status": "A",
"authorized_official_last_name": "EICHENAUER",
"authorized_official_first_name": "STEFAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-358-1967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.