NPIMap

Organization Active NPI

Shoal Creek Family Medicine and Allergy, PC

  • Family Medicine Physician
  • Kearney, MO
National Provider Identifier
1720183346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
113071 Issued in MO
Legal business name
SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC
Practice address
301 S Platte Clay Way
Suite B
Kearney, MO 64060-8214
Phone
(816) 903-8880
Fax
(816) 903-8884
NPI assigned
Sep 14, 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
Mrs. Angela K Stapleton, MD
Title
Physician Co-Owner
Phone
(816) 903-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 113071 MO Primary

Addresses

Primary practice location

301 S Platte Clay Way
Suite B
Kearney, MO 64060-8214

Mailing address

301 S Platte Clay Way
Suite B
Kearney, MO 64060-8214
Phone (816) 903-8880

Other names 1

  • STAPLETON FAMILY HEALTH CENTER Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720183346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PLATTE CLAY WAY",
            "address_2": "SUITE B",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608214",
            "telephone_number": "816-903-8880",
            "fax_number": "816-903-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PLATTE CLAY WAY",
            "address_2": "SUITE B",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608214",
            "telephone_number": "816-903-8880",
            "fax_number": "816-903-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN CO-OWNER",
        "authorized_official_telephone_number": "816-903-8880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAPLETON FAMILY HEALTH CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kearney, 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.