Lees Summit Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEES SUMMIT CLINIC INC

Practice address

615 SW 3Rd St
Lees Summit, MO 64063-2212

Phone

(816) 524-3799

Fax

(816) 524-3921

NPI assigned

Aug 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela R Bennett

Title

Office Manager

Phone

(816) 524-3799

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Herbert Edward Dempsey, D.O.

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1245222611
  NPD
• John E Shockley, D.O.

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1639161003
  NPD
• Paul Marc Joubert, D.O.

  • Internal Medicine Physician
  • Lenexa, KS
  • NPI 1689666042
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548252083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632212",
            "telephone_number": "816-524-3799",
            "fax_number": "816-524-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632212",
            "telephone_number": "816-524-3799",
            "fax_number": "816-524-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEES SUMMIT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-524-3799"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee'S Summit Physicians Group Urgent Care
• Lee'S Summit R-7 School District
• Lee'S Summit School District R-7
• Lee'S Summit Surgicenter, LLC
• Lees Summit Center for Womens Wellness, LLC
• Lees Summit Counseling Services LLC
• Lees Summit Family Chiropractic PC
• Lees Summit Health Care LLC
• Lees Summit Physicians Group
• Lees Summit Physicians Group, Inc

• Family Medicine Physician in Lees Summit, MO
• Providers in Lees Summit, 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 Aug 22, 2020; 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.