Infectious Disease Associates of Kansas City PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASE ASSOCIATES OF KANSAS CITY PC

Practice address

2340 E Meyer Blvd BLDG 2
Suite 392
Kansas City, MO 64132-1105

Phone

(816) 822-8486

Fax

(816) 822-0490

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Janet L Gordon, BS MBA

Title

Administrator

Phone

(816) 822-8486

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1649235037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2",
            "address_2": "SUITE 392",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-822-8486",
            "fax_number": "816-822-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2",
            "address_2": "SUITE 392",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-822-8486",
            "fax_number": "816-822-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE ASSOCIATES OF KANSAS CITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-822-8486",
        "authorized_official_credential": "BS MBA"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114760A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502397706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.