Active NPI
Carondelet Physician Services Inc
- Orthopaedic Surgery Physician
- Blue Springs, MO
National Provider Identifier
1427220375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R6P77
- Legal business name
- CARONDELET PHYSICIAN SERVICES INC
- Practice address
- 300 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2543 - Phone
- (816) 220-3100
- Fax
- (816) 220-4738
- NPI assigned
- Apr 1, 2008
- Organization subpart
- Yes
- Parent organization
- CARONDELET HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven R Cleary
- Title
- Cfo
- Phone
- (816) 943-2819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R6P77 | MO | Primary |
Addresses
Primary practice location
300 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2543
Mailing address
801 NW Saint Mary Dr
Suite 230
Blue Springs, MO 64014-2524
Phone (816) 655-5792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39532013 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Kansas City Orthopaedic Surgery Consultants
National Provider Directory
National Provider Directory- Part of
- Carondelet Health
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1164401477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280361600000",
"number": "1427220375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 NW SAINT MARY DR",
"address_2": "SUITE 230",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142524",
"telephone_number": "816-655-5792",
"fax_number": "816-655-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NW MOCK AVE",
"address_2": "SUITE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142543",
"telephone_number": "816-220-3100",
"fax_number": "816-220-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARONDELET PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARONDELET HEALTH",
"enumeration_date": "2008-04-01",
"last_updated": "2010-07-29",
"status": "A",
"authorized_official_last_name": "CLEARY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "816-943-2819",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R6P77",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39532013",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kansas City Orthopaedic Surgery Consultants",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.