Blue Springs Family Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUE SPRINGS FAMILY CARE PC

Practice address

104 N. 7 Highway
Suite B
Blue Springs, MO 64014-7276

Phone

(816) 229-8880

Fax

(816) 229-4363

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 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

Dr. John Eric Peterson, DONPI 1295728236

Title

President

Phone

(816) 229-8880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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 E. Peterson, D.O.

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1295728236
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Cass, APRN

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1164907622
  Medicare reassignment Care Compare group NPD
• Mark Dawdy, FNP-C

  • Family Nurse Practitioner
  • Lee's Summit, MO
  • NPI 1558147538
  Medicare reassignment Care Compare group NPD
• Samantha Jo Harms, APRN

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1902248115
  Medicare reassignment Care Compare group NPD
• Stefany Hastings, NP-C

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1891179057
  Medicare reassignment Care Compare group NPD
• Kathrine Jean Stipanovich, FNP

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1124563507
  Medicare reassignment Care Compare group NPD
• Tuongvan T. Tran, M.D.

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1689667537
  Medicare reassignment Care Compare group NPD
• Catherine Anne Billington, FNP-C

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1376817189
  Medicare reassignment NPD
• Christopher Lee Edmondson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1982221156
  Medicare reassignment NPD
• Amy N Jensen, FNP-C

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1508165739
  Medicare reassignment NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811060767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N. 7 HIGHWAY",
            "address_2": "SUITE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142726",
            "telephone_number": "816-229-8880",
            "fax_number": "816-229-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N. 7 HIGHWAY",
            "address_2": "SUITE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640147276",
            "telephone_number": "816-229-8880",
            "fax_number": "816-229-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRINGS FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-229-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Springs Chiropractic Health Center
• Blue Springs Dental Arts
• Blue Springs Dental Daniel J Tokar DDS PC
• Blue Springs Dental, LLC (Blue Springs Dental)
• Blue Springs Emergency Physician Services PC
• Blue Springs Family Eye Care, Inc.
• Blue Springs Internal Medicine
• Blue Springs Psychological Services LLC
• Blue Springs R-IV School District
• Blue Springs Wellness & Rehabilitation LLC (Blue Springs Wellness & Rehabilitation)

• Family Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.