Todd a Stastny Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R2J77 Issued in MO

Legal business name

TODD A STASTNY MEDICAL ASSOCIATES

Doing business as

Family Medicine Specialists

Practice address

1700 NW Mock Ave
Blue Springs, MO 64015-3118

Phone

(816) 228-1500

Fax

(816) 228-3805

NPI assigned

May 16, 2006

Last updated

Apr 9, 2010By 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

Mrs. Julie Lynn Stastny

Title

Practice Manager/Owner

Phone

(816) 228-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medicine Specialists Doing business as

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1457303604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153118",
            "telephone_number": "816-228-1500",
            "fax_number": "816-228-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153118",
            "telephone_number": "816-228-1500",
            "fax_number": "816-228-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD A STASTNY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "STASTNY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER/OWNER",
        "authorized_official_telephone_number": "816-228-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2J77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CB6556",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tami Thornton, FNP
• Jayme H. Thorpe, CRNA
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• Amy Tils, DMD
• Angela M Timpson, PHARM. D
• Mashala Tolbert, DC
• Jonathan Wesley Tolman, RN
• Kyle Patrick Torres, PHARMACIST
• Ashtyn Rose Tracy
• Traditions Hospice of Blue Springs, LLC (Traditions Health)

• Family Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, 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 Apr 9, 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.

Verify at the official NPI Registry.