Cmo Care of Mo II, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CMO CARE OF MO II, LLC

Practice address

111 W 10TH St Ste 103
Kansas City, MO 64105-1700

Phone

(615) 386-0064

NPI assigned

Apr 5, 2019

Last updated

Feb 14, 2020By 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

Edward Leland Hutton Eadie

Title

Director

Phone

(615) 733-2064

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1730641895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052216",
            "telephone_number": "615-386-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 10TH ST STE 103",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051700",
            "telephone_number": "615-386-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMO CARE OF MO II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "EADIE",
        "authorized_official_first_name": "EDWARD LELAND",
        "authorized_official_middle_name": "HUTTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-733-2064"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton M Johnson DDS, Lawrence J. Shine Jr. DDS PC
• Clayton Cloud, MS, ATC, LAT
• Keith Clough, PHARMD
• Michelle Clough, CRNA
• Christine Margaret Clune, CPNP-PC
• Cmo Care of Mo, LLC
• Jill M Coan, APRN
• Charlene Coates
• Nancy Rae Coates, M.D.
• Coatney Clinic, Inc (Myral Coatney, D.O., P.C.)

• Cardiovascular Disease Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.