Saint Lukes Physician Group II LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SAINT LUKES PHYSICIAN GROUP II LLC

Practice address

4401 Wornall Rd
Kansas City, MO 64111-3220

Phone

(816) 502-7000

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Stasi

Title

Chief Adminstrative Officer

Phone

(816) 599-9587

Specialties & licenses 15

Addresses

Other identifiers 3

Other names 1

• Saint Lukes Physician Specialists LLC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Lukes Hospital of Kansas City

  • Registered Dietitian
  • Kansas City, MO
  • NPI 1538283296

  Member Of

  NPD member

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Renae Bell, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1700389970
  NPD
• Malinda Bell, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Kansas City, MO
  • NPI 1801936109
  NPD
• Carolyn C Constant, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1114116753
  NPD
• David Frederick Fuller, M.D.

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1093101495

  Hospitalist

  NPD
• Timothy Gengler, CRNA, RN

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
  • NPI 1851880959
  NPD
• Mary Grace Griffin, D.O.

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1306229836
  NPD
• Brigid Holmes, AUD

  • Audiologist
  • Lees Summit, MO
  • NPI 1588305908
  NPD
• Jill E King, FNP-C

  • Family Nurse Practitioner
  • Lees Summit, MO
  • NPI 1336795616
  NPD
• Salil Balkrishna Kulkarni, M.D.

  • Pulmonary Disease Physician
  • Lee'S Summit, MO
  • NPI 1578979704

  Pulmonary Disease

  NPD
• Emily Lier, AGACNP

  • Adult Health Nurse Practitioner
  • Lees Summit, MO
  • NPI 1124493507
  NPD
• Shelby Nicole McLaughlin

  • Acute Care Nurse Practitioner
  • Kansas City, MO
  • NPI 1124507504
  NPD
• Marc T Roth, MD

  • Hematology & Oncology Physician
  • Kansas City, MO
  • NPI 1619364213
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1750335337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "816-502-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-502-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES PHYSICIAN GROUP II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "STASI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINSTRATIVE OFFICER",
        "authorized_official_telephone_number": "816-599-9587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750335337",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200389520B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200389520A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Lukes Physician Specialists LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Kansas City, MO
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.