Carespot of Raytown (9490 East 350 Highway), LLC
Organization Active NPI General Practice Physician · Raytown, MO
NPI 1508209735 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1508209735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- CARESPOT OF RAYTOWN (9490 EAST 350 HIGHWAY), LLC
- Practice address
- 9490 E 350
Raytown, MO 64133-6509 - Phone
- (615) 600-4060
- Fax
- (615) 309-4624
- NPI assigned
- Apr 8, 2013
- Organization subpart
- No
Authorized official
- Name
- Jon Sundock
- Title
- Cao & General Counsel
- Phone
- (615) 600-4060
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
9490 E 350
Raytown, MO 64133-6509
Mailing address
115 East Park Drive
Suite 300
Brentwood, TN 37027-2311
Phone (615) 600-4075
Other providers in Raytown, MO
- Bailey Marie Burt
- Richard Yates Burton
- Paige Fortney Bushnell
- Terren K Cain
- Marissa Caraveo
- Caring Hearts Adult Daycare LLC
- Kaitlyn Ann Carr
- Chira Chiropractic and Wellness Cen
- Uchenna Charles Chira
- Tina C Christian
All providers in Raytown, MO · General Practice Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.