Independence Neurosurgery Services LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

INDEPENDENCE NEUROSURGERY SERVICES LLC

Doing business as

Midwest Brain and Spine Associates

Practice address

1515 W Truman Rd
Suite 607
Independence, MO 64050-3436

Phone

(816) 833-0466

Fax

(816) 833-4155

NPI assigned

May 26, 2006

Last updated

Nov 21, 2025By 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

Benjamin Calkins

Title

Group Vice President

Phone

(615) 372-6536

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Midwest Brain and Spine Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 13

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.

• Margo Lynn Block, D.O.

  • Neurology Physician
  • Independence, MO
  • NPI 1871672287
  Medicare reassignment NPD
• Brandi R French, MD

  • Vascular Neurology Physician
  • Columbia, MO
  • NPI 1659368413
  Medicare reassignment NPD
• Lori Davis Noorollah, MD

  • Neurology Physician
  • Kansas City, KS
  • NPI 1598928186

  MO

  Medicare reassignment
• Bert E Park, MD

  • Neurological Surgery Physician
  • Independence, MO
  • NPI 1407841851
  NPD (past)
• Sarah Turnbull, NP

  • Adult Health Nurse Practitioner
  • Independence, MO
  • NPI 1417296336
  NPD (past)
• Dennis A. Velez, MD

  • Neurological Surgery Physician
  • Independence, MO
  • NPI 1689697468
  NPD (past)
• Verra L Wekullo, MD

  • Infectious Disease Physician
  • Independence, MO
  • NPI 1538150925
  NPD (past)
• Sherry L Booz, ANP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1174514111
  NPD (past)
• Mateja De Leonni Stanonik, MD, PHD

  • Neurology Physician
  • Tucson, AZ
  • NPI 1730344102
  NPD (past)
• Samuel Kim

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1215917091
  NPD (past)
• Tiffany Pineda Long, M.D.

  • Neurology Physician
  • Mobile, AL
  • NPI 1093922882
  NPD (past)
• George J. Siegel, MD

  • General Acute Care Hospital
  • Hines, IL
  • NPI 1669565297
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1316993694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W TRUMAN RD",
            "address_2": "SUITE 607",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503436",
            "telephone_number": "816-833-0466",
            "fax_number": "816-833-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE NEUROSURGERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-6536"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509462404",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200407980A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "34862017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Brain and Spine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independence II Operations, LLC (The Villages of Jackson Creek Memory Care)
• Independence Manor Inc (Independence Manor Care Center)
• Independence MC, LLC (Jackson Creek Memory Care)
• Independence Medical Group PC
• Independence Mo Consulting LLC (Polaris Health & Wellness of Independence)
• Independence Operations LLC (The Villages of Jackson Creek)
• Independence Orthodontics, LLC
• Independence Pediatric Dentistry LLC
• Independence Pediatrics PC
• Independence Pediatrics, P.C. Inc.

• Neurological Surgery Physician in Independence, MO
• Providers in Independence, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.