Stephens Advanced Woundcare LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

102147 Issued in MO

Legal business name

STEPHENS ADVANCED WOUNDCARE LLC

Practice address

10000 Wornall Rd
Kansas City, MO 64114-4359

Phone

(816) 942-0994

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Thad A. Stephens, MD

Title

President

Phone

(913) 526-8813

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1699033233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144359",
            "telephone_number": "816-942-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS ADVANCED WOUNDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-526-8813",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "102147",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "102147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steph Fox Counseling LLC
• Grace Stephan, MD
• Alyssa Marie Stephany, M.D.
• Stephen D. Akimoto, D.D.S.
• Stephen M. Gordon. D.O., P.C
• Bailey J Stephens, LPC
• Dane Stephens, MD
• Karen L. Stephens, MS, RD, LD
• Kelsey Leigh Stephens, PHARMD
• Keona Lee Stephens, FNP

• Emergency Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.