Clay Platte Family Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLAY PLATTE FAMILY MEDICINE CLINIC

Doing business as

Cobblestone Family Medicine Clinic

Practice address

1133 W Kansas St
Liberty, MO 64068-2281

Phone

(816) 781-7400

Fax

(816) 781-3315

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By 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

Gabrielle Hunt

Title

Support Services Manager

Phone

(816) 842-4440

Specialties & licenses 1

Addresses

Other names 1

• Cobblestone Family Medicine Clinic Doing business as

Tax ID family

Clay Platte Fmly Med Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clay-Platte Family Medicine Clinic, PC

  dba Barry Pointe Family Care

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1508547084
  NPD tax ID

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1366169922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512412",
            "telephone_number": "816-842-4440",
            "fax_number": "816-842-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682281",
            "telephone_number": "816-781-7400",
            "fax_number": "816-781-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY PLATTE FAMILY MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "SUPPORT SERVICES MANAGER",
        "authorized_official_telephone_number": "816-842-4440"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobblestone Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet M Clark, APRN, NP-C
• Steven James Clary, MD
• Joni H. Clausen, MA, LPC
• Clay County Health Department (Clay County Public Health Center)
• Clay Emergency Group LLC
• Amber Claypool
• Clinical Counseling Associates of Kansas City LLC
• Clinical Counseling Associates, Inc.
• Johnny Alan Clymore
• Crystal Coakley, MA, PLPC

• Family Medicine Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.