John W Klema III PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R9142 Issued in MO

Legal business name

JOHN W KLEMA III PC

Practice address

4963 NE Goodview Cir Ste B
Lees Summit, MO 64064-2491

Phone

(816) 795-7100

Fax

(816) 795-7105

NPI assigned

Jan 28, 2008

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John W Klema III, DONPI 1013019579

Title

President

Phone

(816) 795-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John William Klema III, DO

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1013019579
  Authorized official Same address or phone

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1699952135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "816-795-7100",
            "fax_number": "816-795-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "816-795-7100",
            "fax_number": "816-795-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W KLEMA III PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "KLEMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E42151",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241071109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Knox Village (John Knox Village Care Center)
• John Knox Village (Hospice by John Knox Village)
• John Knox Village (JKV Provider Services)
• John Knox Village (Outpatient Therapy by John Knox Village)
• John Knox Village (Home Health by John Knox Village)
• Matthew Wade John, MD
• Brandon Teron Johnson, MD
• Caryn Johnson, MD
• Chanel Nashan Johnson
• Charles William Johnson, D.O.

• Family Medicine Physician in Lee's Summit, MO
• Providers in Lee's 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 Jun 7, 2010; 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.