Shoal Creek Family Medicine and Allergy, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

113071 Issued in MO

Legal business name

SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC

Practice address

9784 N Ash Avenue
Kansas City, MO 64157

Phone

(816) 781-4244

Fax

(816) 781-3542

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Renee Stapleton

Title

Practice Manager

Phone

(816) 781-4244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stapleton Family Health Center Former legal business name

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710056502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVENUE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64157",
            "telephone_number": "816-781-4244",
            "fax_number": "816-781-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVENUE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64157",
            "telephone_number": "816-781-4244",
            "fax_number": "816-781-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-781-4244"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "32015013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stapleton Family Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alison Shirley, RN
• Ladijah Imani Shivers, DDS
• Mariya Shkolnaya, MD
• Shoal Creek Chiropractic PC
• Shoal Creek Dental Care LLC
• Shoal Creek Pediatric Dentistry, L.L.C.
• Garrett Cole Shobe, PHARMD
• Cheryl Lynn Shockley
• Stephen C Shoe, PHARMD
• Amy Marie Shoffner, PSY.D.

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, 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.