Organization Active NPI

Medical Care Providers of KC, PC

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1598878928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6712 Issued in MO
Legal business name
MEDICAL CARE PROVIDERS OF KC, PC
Practice address
800 W 47TH St
Ste. 220
Kansas City, MO 64112-1251
Phone
(816) 561-8200
Fax
(816) 561-8201
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wayne Williamson, DO
Title
President
Phone
(816) 561-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R6712 MO Primary

Addresses

Primary practice location

800 W 47TH St
Ste. 220
Kansas City, MO 64112-1251

Mailing address

800 W 47TH St
Ste. 220
Kansas City, MO 64112-1251
Phone (816) 561-8200

National Provider Directory

National Provider Directory

Locations

4520 Madison Ave
#304
Kansas City, MO 64111
Phone (816) 561-8200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598878928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 47TH ST",
            "address_2": "STE. 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121251",
            "telephone_number": "816-561-8200",
            "fax_number": "816-561-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 47TH ST",
            "address_2": "STE. 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121251",
            "telephone_number": "816-561-8200",
            "fax_number": "816-561-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE PROVIDERS OF KC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-561-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • 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.